Healthalliance Hospital Broadway Campus

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS

Practice address

396 Broadway
Kingston, NY 12401-4652

Phone

(845) 331-3131

Fax

(845) 943-6077

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Marsicovete

Title

Ceo

Phone

(845) 334-2750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Kingston Hospital Former legal business name

Interoperability endpoints

• Direct secure messaging: ed@kingston.direct.hahv.org

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bertolini, MD

  • Emergency Medicine Physician
  • Harris, NY
  • NPI 1891739553
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1265484489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014652",
            "telephone_number": "845-331-3131",
            "fax_number": "845-943-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014652",
            "telephone_number": "845-331-3131",
            "fax_number": "845-943-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "MARSICOVETE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-334-2750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kingston Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Kingston Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PX
• Healthalliance Hospital
• Healthalliance Hospital Marys Avenue Campus
• Healthalliance Hospital Marys Avenue Campus
• Healthalliance Hospital Marys Avenue Campus
• Healthalliance Marys Avenue Campus
• Healthcore Supplies LLC

• General Acute Care Hospital in Kingston, NY
• Providers in Kingston, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.