NPIMap

Organization Active NPI

Hudson Valley Health Specialties, Inc

  • Clinic/Center
  • Kingston, NY
National Provider Identifier
1184703308
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5501208R Issued in NY
Legal business name
HUDSON VALLEY HEALTH SPECIALTIES, INC
Practice address
139 Cornell St
Kingston, NY 12401-3633
Phone
(845) 338-1234
Fax
(845) 338-6284
NPI assigned
Nov 6, 2006
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Ms. Laurie A Kelley
Title
Executie Director
Phone
(845) 331-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5501208R NY Primary

Addresses

Primary practice location

139 Cornell St
Kingston, NY 12401-3633

Mailing address

139 Cornell St
Kingston, NY 12401-3633
Phone (845) 338-1234

Other identifiers 1

IdentifierTypeStateIssuer
02087832MedicaidNY

National Provider Directory

National Provider Directory

Locations

139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300

Practitioners & affiliated clinicians

Practitioners 120

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 120

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1184703308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "HUDSON VALLEY HEALTH SPECIALTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIE DIRECTOR",
        "authorized_official_telephone_number": "845-331-4300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "5501208R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02087832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2009; 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.