Organization Active NPI

Hudson Valley Health Group,LLP

  • Hematology & Oncology Physician
  • New Windsor, NY
National Provider Identifier
1053538876
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
201549-1 Issued in NY
Legal business name
HUDSON VALLEY HEALTH GROUP,LLP
Practice address
575 Hudson Valley Ave
Suite 100
New Windsor, NY 12553-4747
Phone
(845) 565-9800
Fax
(845) 565-4801
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Javier A Ruiz, M.D.NPI 1780798116
Title
President
Phone
(845) 565-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 201549-1 NY Primary

Addresses

Primary practice location

575 Hudson Valley Ave
Suite 100
New Windsor, NY 12553-4747

Mailing address

575 Hudson Valley Ave
Suite 100
New Windsor, NY 12553-4747
Phone (845) 565-9800

Other identifiers 1

IdentifierTypeStateIssuer
02097827MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000246 NY Part B Supplier - Clinic/Group Practice 0446357719 Receives reassigned benefits from 4 practitioners
Practice locations: New Windsor, NY

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
33D1069407Hudson Valley Health Group575 Hudson Valley Avenue, Suite 100, New Windsor, NY 12553ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

575 Hudson Valley Ave
Ste 100
New Windsor, NY 12553
Phone (845) 565-9800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1053538876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-565-9800",
            "fax_number": "845-565-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 100",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-565-9800",
            "fax_number": "845-565-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY HEALTH GROUP,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-565-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "201549-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02097827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.