Organization Active NPI

New York Home Ultrasound LLC

  • Physiological Laboratory
  • Pawling, NY
National Provider Identifier
1033596002
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEW YORK HOME ULTRASOUND LLC
Practice address
527 Route 22 Ste 4
Pawling, NY 12564-1218
Phone
(845) 289-0103
Fax
(845) 855-1010
NPI assigned
Apr 29, 2015
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Keith Reich
Title
Vice President
Phone
(845) 289-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

527 Route 22 Ste 4
Pawling, NY 12564-1218

Mailing address

527 Route 22 Ste 4
Pawling, NY 12564-1218
Phone (845) 289-0103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002068 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3678858040 Practice locations: Pawling, NY

National Provider Directory

National Provider Directory

Locations

527 Route 22
Ste 202
Pawling, NY 12564

Practitioners & affiliated clinicians

Practitioners 2

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": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1033596002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ROUTE 22 STE 4",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641218",
            "telephone_number": "845-289-0103",
            "fax_number": "845-855-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 ROUTE 22 STE 4",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641218",
            "telephone_number": "845-289-0103",
            "fax_number": "845-855-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK HOME ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-289-0103"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawling, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.