Upper Delaware Valley Infectious Diseases,PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

UPPER DELAWARE VALLEY INFECTIOUS DISEASES,PC

Practice address

427 Broadway
Suite 1
Monticello, NY 12701-1742

Phone

(845) 794-6813

Fax

(845) 794-6816

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary R. Good, M.D.

Title

President

Phone

(845) 794-6813

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1033445481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE 1",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-6813",
            "fax_number": "845-794-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE 1",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-6813",
            "fax_number": "845-794-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER DELAWARE VALLEY INFECTIOUS DISEASES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-794-6813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01518258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaine Mar Triunfante, P.T.
• Bethany Truesdale
• Jeweliana Trujillo
• Ching-Rong Tsai, MD
• Dawn Tyrrell, RN
• Upward Licensed Behavior Analyst PLLC
• Doris Yaneth Vaca
• Gabriella Maria Vacante, MS,OTR/L
• Laure Joan Valentine
• Sally Ann Van de Mark, PTA

• Infectious Disease Physician in Monticello, NY
• Providers in Monticello, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.