NPIMap

Organization Active NPI

Nuvance Health Medical Practice, PC

  • Surgical Oncology Physician
  • Kingston, NY
National Provider Identifier
1215565783
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
NUVANCE HEALTH MEDICAL PRACTICE, PC
Practice address
1240 Ulster Avenue--Breast Depart.
Kingston, NY 12401
Phone
(845) 871-3108
Fax
(845) 790-3187
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Karen Darcy
Title
VP Finance
Phone
(203) 739-4593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

1240 Ulster Avenue--Breast Depart.
Kingston, NY 12401

Mailing address

1351 Route 55 Ste 200
Lagrangeville, NY 12540-5128
Phone (845) 475-9661

Other names 2

  • HQMP Kingston Breast Other name
  • NHMP Kingston Breast Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Quest Medical Practice PC176 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1215565783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55 STE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405128",
            "telephone_number": "845-475-9661",
            "fax_number": "845-475-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ULSTER AVENUE--BREAST DEPART.",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-871-3108",
            "fax_number": "845-790-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANCE HEALTH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "DARCY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "203-739-4593"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HQMP Kingston Breast",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NHMP Kingston Breast",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 11, 2021; 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.