Organization Active NPI

Riverside Medical Practice, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Poughkeepsie, NY
National Provider Identifier
1356374649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02632011MedicaidNY

Other names 1

  • Hudson Cardiothoracic Surgeons Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.