Individual provider Active NPI

Ferdinand Anderson Jr., M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kingston, NY
National Provider Identifier
1265505846
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
155348-1 Issued in NY
Practice address
40 Hurley Ave
Suite 4
Kingston, NY 12401-3739
Phone
(845) 338-5600
Fax
(845) 338-3058
NPI assigned
Nov 15, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 155348-1 NY Primary
Internal Medicine Physician 207R00000X 155348-1 NY

Addresses

Primary practice location

40 Hurley Ave
Suite 4
Kingston, NY 12401-3739

Mailing address

40 Hurley Ave
Suite 4
Kingston, NY 12401-3739
Phone (845) 338-5600

Other practice location 1

2555 South Rd
Poughkeepsie, NY 12601-5393
Phone (845) 330-3200

Other practice location 2

4274 Albany Post Rd
Hyde Park, NY 12538-1718
Phone (845) 229-2602

Other practice location 3

306 Windsor Hwy
New Windsor, NY 12553-6908
Phone (845) 787-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001743 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8224019351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155348-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical P.C. Dba Emergency One CurrentSince Sep 15, 1993 Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients
Eos Medical Group PC Past Accepting new patients

Locations

4274 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 229-2602

40 Hurley Ave
Ste 4
Kingston, NY 12401
Phone (845) 338-5600

306 Windsor Hwy
New Windsor, NY 12553
Phone (845) 787-1400

2555 South Rd
Poughkeepsie, NY 12601
Phone (845) 330-3200

Interoperability endpoints

  • Direct secure messaging: fanderson@direct.health-quest.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1265505846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-5600",
            "fax_number": "845-338-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "address_2": "SUITE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-5600",
            "fax_number": "845-338-3058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 South Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126015393",
            "country_code": "US",
            "telephone_number": "845-330-3200",
            "fax_number": "845-240-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4274 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381718",
            "country_code": "US",
            "telephone_number": "845-229-2602",
            "fax_number": "845-338-3058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Windsor Hwy",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125536908",
            "country_code": "US",
            "telephone_number": "845-787-1400",
            "fax_number": "845-787-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FERDINAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "155348-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155348-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.