Organization Active NPI

Nuvance Health Medical Practice, PC

  • Nephrology Physician
  • Wappingers Falls, NY
National Provider Identifier
1033796594
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NUVANCE HEALTH MEDICAL PRACTICE, PC
Practice address
66 Middlebush Rd Ste 302
Wappingers Falls, NY 12590-4076
Phone
(845) 790-1380
Fax
(845) 790-1977
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Jayma Nolan Waskiel
Title
VP
Phone
(203) 739-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

66 Middlebush Rd Ste 302
Wappingers Falls, NY 12590-4076

Mailing address

1351 Route 55 Ste 200
Lagrangeville, NY 12540-5128
Phone (845) 475-9661

Other names 1

  • NHMP Nephrology Wapp. Falls Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Quest Medical Practice PC176 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

Locations

66 Middlebush Rd
Ste 302
Wappingers Falls, NY 12590
Phone (845) 790-1380

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1033796594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55 STE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405128",
            "telephone_number": "845-475-9661",
            "fax_number": "845-475-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD STE 302",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904076",
            "telephone_number": "845-790-1380",
            "fax_number": "845-790-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANCE HEALTH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "WASKIEL",
        "authorized_official_first_name": "JAYMA",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "203-739-7534"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHMP Nephrology Wapp. Falls",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.