OrganizationActive
Koinonia Healthcare
NPI 1225122054 · Primary Care Clinic/Center · Albany, NY
Koinonia Healthcare is a Primary Care Clinic/Center organization in Albany, NY (NPI 1225122054).
Provider details
- NPI number
- 1225122054
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Paeglow, Director(518) 689-0282
- License
- 60/201542 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
553 Clinton Avenue
Albany, NY 12206
Phone: (518) 689-0282
Street-level locationGet directions
Mailing address
553 Clinton Avenue
Albany, NY 12206
Other names (DBA / former)
- Other name
- Koinonia Primary Care and Psychiatric Services
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2011-11-03
Frequently asked questions
- What is Koinonia Healthcare's NPI number?
- Koinonia Healthcare's National Provider Identifier (NPI) is 1225122054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koinonia Healthcare?
- Koinonia Healthcare is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Koinonia Healthcare located?
- Koinonia Healthcare's practice location on file with NPPES is 553 Clinton Avenue, Albany, NY 12206.
- What is Koinonia Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Koinonia Healthcare is (518) 689-0282.
- Who is the authorized official for Koinonia Healthcare?
- The authorized official listed on Koinonia Healthcare's NPPES record is Robert Paeglow, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koinonia Healthcare's NPI active?
- Yes — Koinonia Healthcare's NPI (1225122054) is active in the NPPES registry as of the last update on 2011-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.