Active NPI
Dutchess Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Poughkeepsie, NY
National Provider Identifier
1043246077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1302208R
- Legal business name
- DUTCHESS AMBULATORY SURGICAL CENTER
- Practice address
- 325 Founders Way
Poughkeepsie, NY 12603-2516 - Phone
- (845) 473-6144
- Fax
- (845) 473-5601
- NPI assigned
- Jun 23, 2006
- Last updated
- Mar 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa McCloskey
- Title
- Business Manager
- Phone
- (845) 473-6144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1302208R | NY | Primary |
Addresses
Primary practice location
325 Founders Way
Poughkeepsie, NY 12603-2516
Mailing address
325 Founders Way
Poughkeepsie, NY 12603-2516
Phone (845) 473-6144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IC7999 | Other | HEALTHNET | |
| A1314785 | Other | OXFORD | |
| 01902698 | Medicaid | NY | |
| 317513 | Other | NY | MVP |
| 003631 | Other | EMPIRE BCBS | |
| 10035585 | Other | CDPHP | |
| 2042937 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100730000236 | NY | Part B Supplier - Ambulatory Surgical Center | 5092848887 | Practice locations: Poughkeepsie, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Dutchess Ambulatory Surgical Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0968801 | Dutchess Ambulatory Surgical Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Dutchess Ambulatory Surgical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Poughkeepsie, NY
- NPI 1366484776
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1124144498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1043246077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 FOUNDERS WAY",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032516",
"telephone_number": "845-473-6144",
"fax_number": "845-473-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 FOUNDERS WAY",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032516",
"telephone_number": "845-473-6144",
"fax_number": "845-473-5601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUTCHESS AMBULATORY SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "MCCLOSKEY",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "845-473-6144",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "1302208R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "IC7999",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A1314785",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01902698",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "317513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "003631",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10035585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2042937",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.