Active NPI
Riverside Medical Practice, PLLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Poughkeepsie, NY
National Provider Identifier
1356374649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- RIVERSIDE MEDICAL PRACTICE, PLLC
- Doing business as
- Hudson Cardiothoracic Surgeons
- Practice address
- 1 Columbia St
Suite 300
Poughkeepsie, NY 12601-3923 - Phone
- (845) 483-0100
- Fax
- (845) 483-0200
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Z Aronzon, MD
- Title
- Medical Director
- Phone
- (845) 483-6217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
1 Columbia St
Suite 300
Poughkeepsie, NY 12601-3923
Mailing address
PO Box 1171
Poughkeepsie, NY 12602-1171
Phone (845) 483-6217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02632011 | Medicaid | NY |
Other names 1
- Hudson Cardiothoracic Surgeons
National Provider Directory
National Provider DirectoryLocations
103 Executive Dr
New Windsor, NY 12553
Phone (845) 483-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356374649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1171",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126021171",
"telephone_number": "845-483-6217",
"fax_number": "845-483-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLUMBIA ST",
"address_2": "SUITE 300",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013923",
"telephone_number": "845-483-0100",
"fax_number": "845-483-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE MEDICAL PRACTICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARONZON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "845-483-6217",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02632011",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hudson Cardiothoracic Surgeons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.