NPIMap

Organization Active NPI

Downstate Correctional Facilty

  • State or Local Public Health Clinic/Center
  • Fishkill, NY
National Provider Identifier
1013306059
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
F336460-1 Issued in NY
Legal business name
DOWNSTATE CORRECTIONAL FACILTY
Practice address
121 Red Schoolhouse Rd
Fishkill, NY 12524-2810
Phone
(845) 831-6600
Fax
(845) 831-6794
NPI assigned
Jan 14, 2015
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Mario Malvarosa, MDNPI 1700926466
Title
Facilty Health Services Director
Phone
(845) 831-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X F336460-1 NY Primary
Exclusive Provider Organization 302F00000X F336460-1 NY

Addresses

Primary practice location

121 Red Schoolhouse Rd
Fishkill, NY 12524-2810

Mailing address

PO Box 445
Fishkill, NY 12524-0445
Phone (845) 831-6600

National Provider Directory

National Provider Directory
Tax ID family
Wilton Devel Ctr Rev M269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

121 Red Schoolhouse Rd
Fishkill, NY 12524
Phone (845) 831-6600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1013306059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125240445",
            "telephone_number": "845-831-6600",
            "fax_number": "845-831-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RED SCHOOLHOUSE RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242810",
            "telephone_number": "845-831-6600",
            "fax_number": "845-831-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNSTATE CORRECTIONAL FACILTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MALVAROSA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "FACILTY HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "845-831-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "F336460-1",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "F336460-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.