Michael J Ortiz, CRPA-P

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-P-6138 Issued in NY

Practice address

412 Main St
Poughkeepsie, NY 12601-3312

Phone

(845) 486-8880

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1093424822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MARKET ST APT 1",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902368",
            "telephone_number": "845-420-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013312",
            "telephone_number": "845-486-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "CRPA-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-P-6138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic & Neurosurgery Specialists, PLLC
• Orthopedic Assoc of Dutchess County P C
• Orthopedic Assoc of Dutchess County P C
• Orthopedic Associates of Dutchess County, P.C.
• Eric Lawrence Ortiz, PA-C
• Victoria Marie Ortiz
• Michele Osika Swank, SLP
• Jacqueline Osnato
• Kristina Otero, D.O.
• Geofrey Arika Otienoh, PA

• Peer Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.