Individual provider Active NPI

Ronda Debra Kosseff-Salchert

  • Medical Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1093832099
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007435-1 Issued in NY
Practice address
301 Manchester Rd
Poughkeepsie, NY 12603-2586
Phone
(845) 473-8856
Fax
(845) 473-3751
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 007435-1 NY Primary

Addresses

Primary practice location

301 Manchester Rd
Poughkeepsie, NY 12603-2586

Mailing address

415 Sepasco Center St
Rhinebeck, NY 12572-2240
Phone (845) 876-2958

Other identifiers 1

IdentifierTypeStateIssuer
02831698MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007435-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1093832099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SEPASCO CENTER ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125722240",
            "telephone_number": "845-876-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032586",
            "telephone_number": "845-473-8856",
            "fax_number": "845-473-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSEFF-SALCHERT",
        "first_name": "RONDA",
        "middle_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007435-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02831698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.