Active NPI
Ferdinand Anderson Jr., M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 155348-1
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155348-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical P.C. Dba Emergency One | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Kingston, NY
- NPI 1114043411
-
- Emergency Medicine Physician
- Carmel, NY
- NPI 1730119926
-
- General Practice Physician
- Poughkeepsie, NY
- NPI 1093746505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.