Organization Active NPI

Planned Parenthood of the Mid-Hudson Valley Inc

  • Ambulatory Family Planning Facility
  • Newburgh, NY
National Provider Identifier
1013035112
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
1302207R Issued in NY
Legal business name
PLANNED PARENTHOOD OF THE MID-HUDSON VALLEY INC
Practice address
136 Lake St
Suite 11
Newburgh, NY 12550-5245
Phone
(845) 471-1530
Fax
(845) 471-1519
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Dorothy Radford, CPA
Title
VP of Finance
Phone
(845) 471-1530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 1302207R NY Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X 1302207R NY

Addresses

Primary practice location

136 Lake St
Suite 11
Newburgh, NY 12550-5245

Mailing address

178 Church Street
Poughkeepsie, NY 12601
Phone (845) 471-1530

Other identifiers 1

IdentifierTypeStateIssuer
00245258MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111020000416 NY Part B Supplier - Clinic/Group Practice 0547151367 Receives reassigned benefits from 7 practitioners
Practice locations: Goshen, NY; Kingston, NY; Monticello, NY; Newburgh, NY; Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

21 Grand St
Kingston, NY 12401
Phone (845) 338-0840

14 Prince St
Monticello, NY 12701
Phone (845) 471-1530

3125 US Route 9W
New Windsor, NY 12553
Phone (518) 691-0732

136 Lake St
Newburgh, NY 12550
Phone (845) 471-1530

17 Noxon St
Poughkeepsie, NY 12601
Phone (845) 471-1530

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1013035112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CHURCH STREET",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-1530",
            "fax_number": "845-471-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LAKE ST",
            "address_2": "SUITE 11",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505245",
            "telephone_number": "845-471-1530",
            "fax_number": "845-471-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE MID-HUDSON VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "845-471-1530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "1302207R",
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NY",
            "license": "1302207R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.