Active NPI
Medical Associates of the Hudson Valley
- Family Medicine Physician
- Woodstock, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL ASSOCIATES OF THE HUDSON VALLEY
- Practice address
- 9 Elwyn LN
Woodstock, NY 12498-1301 - Phone
- (845) 338-7140
- Fax
- (845) 338-7141
- NPI assigned
- Mar 5, 2024
- Last updated
- Mar 5, 2024
- Organization subpart
- Yes
- Parent organization
- MEDICAL ASSOCIATES OF THE HUDSON VALLEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Tack, DO
- Title
- Managing Partner
- Phone
- (845) 338-7140
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
9 Elwyn LN
Woodstock, NY 12498-1301
Mailing address
360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0163137 | Medical Associates of the Hudson Valley PC | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Assoc of the Hu
- Part of
- Medical Assoc of the Hu
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Poughkeepsie, NY
- NPI 1235594672
-
- Physical Medicine & Rehabilitation Physician
- Poughkeepsie, NY
- NPI 1396468799
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1669601795
-
- Family Medicine Physician
- Phoenicia, NY
- NPI 1720846439
-
- Physical Medicine & Rehabilitation Physician
- New Paltz, NY
- NPI 1821711227
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Kingston, NY
- NPI 1376582015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1336906304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 WASHINGTON AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013702",
"telephone_number": "845-338-7140",
"fax_number": "845-338-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ELWYN LN",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124981301",
"telephone_number": "845-338-7140",
"fax_number": "845-338-7141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF THE HUDSON VALLEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF THE HUDSON VALLEY",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "TACK",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "845-338-7140",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, NY
- Maverick Family Counseling
- Maverick Family Counseling LCSW PLLC (Maverick Family Counseling)
- Maverick Family Medical, PC (Maverick Family Health)
- Megan McCambley, MHC-LP
- James Jordan McErlean
- Monica Ruth Meyer, MD
- William Fred Milton, D.M.D
- Monica R. Meyer MD PC
- Montefiore Medical Center
- Talya Moonheart, MSW, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.