Organization Active NPI

Nuvance Health Medical Practice, PC

  • Rheumatology Physician
  • Wappingers Falls, NY
National Provider Identifier
1083377048
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
NUVANCE HEALTH MEDICAL PRACTICE, PC
Practice address
66 Middlebush Rd Ste 302
Wappingers Falls, NY 12590-4076
Phone
(845) 790-1393
Fax
(845) 790-3104
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Jayma Nolan Waskiel
Title
Contracting/Payer Relations
Phone
(845) 475-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

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

Mailing address

100 Reserve Rd
Danbury, CT 06810-5267
Phone (845) 475-9661

Other names 1

  • NHMP WF Rheum. 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": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1083377048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RESERVE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105267",
            "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": "845-790-1393",
            "fax_number": "845-790-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANCE HEALTH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WASKIEL",
        "authorized_official_first_name": "JAYMA",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "CONTRACTING/PAYER RELATIONS",
        "authorized_official_telephone_number": "845-475-9661"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHMP WF Rheum.",
            "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 Oct 18, 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.