Newburgh Internal Medicine,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

138024 Issued in NY

Legal business name

NEWBURGH INTERNAL MEDICINE,P.C.

Practice address

308 Fullerton Ave
Newburgh, NY 12550-3722

Phone

(845) 561-1575

Fax

(845) 561-1796

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Susan M Jensen, M.D.NPI 1134185556

Title

President

Phone

(845) 561-1575

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Susan M Jensen, M.D.

  • Internal Medicine Physician
  • Cornwall, NY
  • NPI 1134185556
  NPD (past) Authorized official
• Edwin Alan Cowen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Albany, NY
  • NPI 1235195645
  NPD (past)
• Julie C Ormiston, RPA

  • Medical Physician Assistant
  • Newburgh, NY
  • NPI 1225042344
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033133632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503722",
            "telephone_number": "845-561-1575",
            "fax_number": "845-561-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503722",
            "telephone_number": "845-561-1575",
            "fax_number": "845-561-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH INTERNAL MEDICINE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-561-1575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "138024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00510563",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01034073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newburgh Chemists Inc
• Newburgh Dental Associates
• Newburgh Dental Group
• Newburgh Enlarged City School District
• Newburgh Eye Associates Physicians & Surgeons, PC
• Newburgh Operations LLC
• Newburgh Pharmacy Inc
• Newburgh Podiatry PLLC
• Newburgh Primary Care PC
• Newburgh Surgical Services, PLLC

• Specialist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.