NPIMap

Organization Active NPI

Nuvance Health Medical Practice, PC

  • Cardiovascular Disease Physician
  • Hopewell JCT, NY
National Provider Identifier
1073079018
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NUVANCE HEALTH MEDICAL PRACTICE, PC
Practice address
45 Foster Rd
Hopewell JCT, NY 12533-6123
Phone
(845) 924-8305
Fax
(845) 592-4242
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Glenn Loomis
Title
Credentialing
Phone
(845) 475-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

45 Foster Rd
Hopewell JCT, NY 12533-6123

Mailing address

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

Other names 1

  • HQMP NMG Cardio HJ 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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1073079018",
    "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": "45 FOSTER RD",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125336123",
            "telephone_number": "845-924-8305",
            "fax_number": "845-592-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANCE HEALTH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "845-475-9661"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HQMP NMG Cardio HJ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HQMP NMG Cardio HJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hopewell JCT, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.