Organization Active NPI

Hudson Valley Endocrinology, P.C.

  • Specialist
  • Highland, NY
National Provider Identifier
1083668735
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
212041 Issued in NY
Legal business name
HUDSON VALLEY ENDOCRINOLOGY, P.C.
Practice address
29 Church St
Highland, NY 12528-1401
Phone
(845) 691-4600
Fax
(845) 691-5546
NPI assigned
May 19, 2006
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Robert Ortiz, M.D.NPI 1255384418
Title
President
Phone
(845) 691-4600

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 212041 NY Primary

Addresses

Primary practice location

29 Church St
Highland, NY 12528-1401

Mailing address

PO Box 1557
Highland, NY 12528-8557
Phone (845) 691-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060522000141 NY Part B Supplier - Clinic/Group Practice 6901817360 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, NY

National Provider Directory

National Provider Directory

Locations

29 Church St
Highland, NY 12528
Phone (845) 691-4600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFJBA

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1083668735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125288557",
            "telephone_number": "845-691-4600",
            "fax_number": "845-691-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281401",
            "telephone_number": "845-691-4600",
            "fax_number": "845-691-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY ENDOCRINOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-691-4600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "212041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.