Active NPI
Gary E Pearlstein, MD
- Surgery Physician
- Hudson, NY
National Provider Identifier
1366476442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 140481
- Practice address
- 71 Prospect Ave
Hudson, NY 12534-2907 - Phone
- (518) 697-3000
- Fax
- (518) 697-3015
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 140481 | NY | Primary |
Addresses
Primary practice location
71 Prospect Ave
Hudson, NY 12534-2907
Mailing address
PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00972569 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1366476442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342000",
"telephone_number": "518-828-8363",
"fax_number": "518-697-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 PROSPECT AVE",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342907",
"telephone_number": "518-697-3000",
"fax_number": "518-697-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLSTEIN",
"first_name": "GARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "140481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00972569",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.