NPIMap

Organization Active NPI

Ulster Radiologic Associates, PC

  • Radiology Clinic/Center
  • Kingston, NY
National Provider Identifier
1326083239
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ULSTER RADIOLOGIC ASSOCIATES, PC
Practice address
105 Marys Ave
Kingston, NY 12401
Phone
(845) 338-2500
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Steven Daniel Schwartz, MDNPI 1154384766
Title
President
Phone
(845) 340-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

105 Marys Ave
Kingston, NY 12401

Mailing address

PO Box 2270
Kingston, NY 12402-2270
Phone (845) 339-7582

Other practice location 1

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Other practice location 2

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Other identifiers 1

IdentifierTypeStateIssuer
00865283MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040312000896 NY Part B Supplier - Clinic/Group Practice 5294624722 Receives reassigned benefits from 36 practitioners
Practice locations: White Plains, NY; Newburgh, NY; New York, NY; New Rochelle, NY; New City, NY; Margaretville, NY; Middletown, NY; Kingston, NY…
O20170202000384 FL Part B Supplier - Clinic/Group Practice 5294624722 Receives reassigned benefits from 4 practitioners
Practice locations: Boynton Beach, FL; Winter Park, FL; Redington Shores, FL; Plantation, FL; Ponte Vedra Beach, FL; Boca Raton, FL
O20220421002506 LA Part B Supplier - Clinic/Group Practice 5294624722 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100

175 Memorial Hwy
Ste 1-4
New Rochelle, NY 10801
Phone (914) 632-7882

Practitioners & affiliated clinicians

Practitioners 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1326083239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124022270",
            "telephone_number": "845-339-7582",
            "fax_number": "845-338-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42084 State Highway 28",
            "address_purpose": "LOCATION",
            "city": "Margaretville",
            "state": "NY",
            "postal_code": "124552820",
            "country_code": "US",
            "telephone_number": "845-586-2631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ULSTER RADIOLOGIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-340-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00865283",
            "state": "NY"
        }
    ],
    "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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.