NPIMap

Organization Active NPI

Nuvance Health Medical Practice, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, NY
National Provider Identifier
1295312759
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
NUVANCE HEALTH MEDICAL PRACTICE, PC
Practice address
150 Route 52
Carmel, NY 10512-1200
Phone
(845) 790-2500
Fax
(845) 790-2300
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Jayma Nolan Waskiel
Title
Payer Relations & Contracting
Phone
(203) 739-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

150 Route 52
Carmel, NY 10512-1200

Mailing address

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

Other names 1

  • NHMP Carmel Endo. 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

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1295312759",
    "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": "150 ROUTE 52",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121200",
            "telephone_number": "845-790-2500",
            "fax_number": "845-790-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVANCE HEALTH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "WASKIEL",
        "authorized_official_first_name": "JAYMA",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "PAYER RELATIONS & CONTRACTING",
        "authorized_official_telephone_number": "203-739-7534"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHMP Carmel Endo.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.