NPIMap

Organization Active NPI

Northern Dutchess Hospital

  • General Acute Care Hospital
  • Rhinebeck, NY
National Provider Identifier
1124072715
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1327000H Issued in NY
Legal business name
NORTHERN DUTCHESS HOSPITAL
Practice address
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone
(845) 876-3001
Fax
(845) 838-8062
NPI assigned
May 19, 2006
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Steven Rosenberg
Title
Chief Financial Officer
Phone
(203) 739-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1327000H NY Primary

Addresses

Primary practice location

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Mailing address

6511 Spring Brook Ave
Pobox5002
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Other identifiers 7

IdentifierTypeStateIssuer
000357OtherBLUE CROSS
0300OtherMVP
00268300MedicaidNY
103199OtherWELLCARE
HO1504OtherOXFORD
10017288OtherCDPHP
3199OtherGHI HMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000152 NY Part A Provider - Hospital 8820283831 Practice locations: Hyde Park, NY; Kingston, NY; Rhinebeck, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124072715. Details of each certification follow.

Hospital certification: CCN 330049

Legal name
NORTHERN DUTCHESS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 14, 2023
Beds
68
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1924 in NY
Enrollment address
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Northern Dutchess HospitalCCN 330049 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Northern Dutch Hosp Ekg-H2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ramon Soto Individual Corporate Director May 1, 2025
Margaret M Crotty Individual Corporate Director May 1, 2025
Howard B Gold Individual Corporate Director May 1, 2025
Northwell, Inc. Organization, New Hyde Park, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Health Quest Systems Inc Organization, Poughkeepsie, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2009 100%
Operational/Managerial Control Sep 2, 1999 100%
Timothy Dean Individual Corporate Director May 1, 2025
Michael E Feldman Individual Corporate Director May 1, 2025
Sal Calta Individual Corporate Director May 1, 2025
Gregory W Rakow Individual Corporate Director May 1, 2025
Robert R Dyson Individual Corporate Director May 1, 2025
Mark J Solazzo Individual Corporate Director May 1, 2025
Ervin Shames Individual Corporate Director May 1, 2025
Kathleen Gallo Individual Corporate Director May 1, 2025
Anne Roby Individual Corporate Director May 1, 2025
Mark Gudis Individual Corporate Director May 1, 2025
Michael Nesheiwat Individual Corporate Director May 1, 2025
Nuvance Health Organization, Poughkeepsie, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2019 100%
Michelle Robertson Individual Corporate OfficerPresident Nuvance Market Northwell Jan 1, 2026
Nicole J Schulz Individual Corporate OfficerCro Feb 1, 2024
W-2 Managing EmployeeCro Feb 1, 2024
Daniel Debarba Individual Corporate OfficerCfo Sep 1, 2022
W-2 Managing EmployeeCfo Sep 1, 2022
Steven V Lant Individual Corporate Director May 1, 2025
John K D'Angelo Individual Corporate OfficerCeo Northwell Oct 1, 2025
Corporate DirectorEx Officio Director Oct 1, 2025
Joseph Divestea Individual Corporate Director May 1, 2025
Donald Jones Individual Corporate Director May 1, 2025
Laurence a Kraemer Individual Corporate OfficerChief Legal Officer Northwell Jan 1, 2026
Corporate DirectorAssistant Secretary Jan 1, 2026
Richard Jabara Individual Corporate Director May 1, 2025
Thomas Dubin Individual Corporate Director May 1, 2025
Michele L Cusack Individual Corporate OfficerChief Financial Officer Northwell Jan 1, 2026
Corporate DirectorAsst Treasurer Jan 1, 2026
Northwell Health System, Inc. Organization, New Hyde Park, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2025 100%
Brian Wyatt Individual Corporate OfficerChief Legal Officer Jan 1, 2026
Corporate DirectorSecretary Jan 1, 2026
Javid Shahid Individual Corporate Director May 1, 2025
Francoise C Dunefsky Individual Corporate Director May 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

Affiliated clinicians 596

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 596

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": "1649635200000",
    "number": "1124072715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "address_2": "POBOX5002",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-3001",
            "fax_number": "845-838-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-3001",
            "fax_number": "845-838-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DUTCHESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-739-7240"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "1327000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00268300",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "103199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HO1504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10017288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "3199",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.