Organization Active NPI

Dutchess Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1043246077
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1302208R Issued in NY
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IC7999OtherHEALTHNET
A1314785OtherOXFORD
01902698MedicaidNY
317513OtherNYMVP
003631OtherEMPIRE BCBS
10035585OtherCDPHP
2042937OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 33C0001034
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0968801Dutchess Ambulatory Surgical Center325 Founders Way, Poughkeepsie, NY 12603Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dutchess Ambulatory Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.