NPIMap

Organization Active NPI

Nysarc Inc. Ulster, Greene, Putnam Counties Chapter

Doing business as The Arc Mid-Hudson

  • Developmental Disabilities Clinic/Center
  • Kingston, NY
National Provider Identifier
1164467007
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER
Doing business as
The Arc Mid-Hudson
Practice address
139 Cornell St
Kingston, NY 12401-3633
Phone
(845) 338-1234
Fax
(845) 338-6284
NPI assigned
Jun 17, 2006
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Stacey Lyn Sadowski
Title
Director of Finance
Phone
(845) 331-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

139 Cornell St
Kingston, NY 12401-3633

Mailing address

471 Albany Ave
Kingston, NY 12401-2138
Phone (845) 331-4300

Other practice location 1

571-575 Drewville Rd
Carmel, NY 10512-1051
Phone (914) 224-5649

Other identifiers 1

IdentifierTypeStateIssuer
6177311OtherNYOPERATING CERTIFICATE

Other names 1

  • The Arc Mid-Hudson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000012 NY Part B Supplier - Clinic/Group Practice 2466543764 Receives reassigned benefits from 14 practitioners
Practice locations: Carmel, NY; Kingston, NY; Ellenville, NY; Catskill, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2205227Nysarc in Ulster-Greene-Putnam Counties571-575 Drewville Rd, Carmel, NY 10512Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ulster Assc-Retarded Citi6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

97 Old Route 6
Carmel, NY 10512
Phone (845) 228-9279

311 W Bridge St
Catskill, NY 12414
Phone (518) 943-9592

198 Canal St
Ellenville, NY 12428
Phone (845) 647-7505

46 Canal St
Ellenville, NY 12428
Phone (845) 338-1324

Practitioners & affiliated clinicians

Practitioners 95

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 95

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1164467007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 ALBANY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012138",
            "telephone_number": "845-331-4300",
            "fax_number": "845-331-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CORNELL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013633",
            "telephone_number": "845-338-1234",
            "fax_number": "845-338-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571-575 Drewville Rd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105121051",
            "country_code": "US",
            "telephone_number": "914-224-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NYSARC INC. ULSTER, GREENE, PUTNAM COUNTIES CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SADOWSKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "845-331-4300"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "6177311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc Mid-Hudson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arc Mid-Hudson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.