Hurley Avenue Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

129228 Issued in NY

Legal business name

HURLEY AVENUE FAMILY MEDICINE

Practice address

211 Hurley Ave
Kingston, NY 12401-2400

Phone

(845) 339-2804

Fax

(845) 338-5982

NPI assigned

Jan 17, 2013

Organization subpart

Yes

Parent organization

HURLEY AVENUE FAMILY MEDCINE, PLLCAs reported in NPPES

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

Authorized official

Name

Jennifer Hamilton

Title

Office Manager

Phone

(845) 340-1185

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hurley Ave Family Med PLLC4 organizations share this tax ID, including this one

Part of

Hurley Ave Family Med PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Hurley Avenue Family Medicine

  • Family Medicine Physician
  • Saugerties, NY
  • NPI 1245599877
  NPD tax ID
• Hurley Avenue Family Medicine

  • Family Medicine Physician
  • Stone Ridge, NY
  • NPI 1669964706
  NPD tax ID
• Hurley Avenue Family Medicine

  • Family Medicine Physician
  • Catskill, NY
  • NPI 1679832208
  NPD tax ID

Practitioners 1

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

• Jaclyn Ann Finn, NP

  • Adult Health Nurse Practitioner
  • Hudson, NY
  • NPI 1578209201
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1306184908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012400",
            "telephone_number": "845-339-2804",
            "fax_number": "845-338-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012400",
            "telephone_number": "845-339-2804",
            "fax_number": "845-338-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY AVENUE FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HURLEY AVENUE FAMILY MEDCINE, PLLC",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-340-1185"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "129228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson Valley Senior Residence
• Hudson Valley Vision Center Inc.
• Andrew Hune, DPM
• Amelia M Hunt, RN
• Hurley Ave Family Med PLLC
• Hurley Avenue Medicine Community Care
• Susan G Hutton, RDH
• Claire Warren Hymes, LMHC
• Tahcin Ibrahim, M.D.
• Michael Ignat, D.O.

• Family Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.