Organization Active NPI

Dutchess Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1366484776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DUTCHESS SURGICAL CENTER
Practice address
23 Davis Ave
Poughkeepsie, NY 12603-2416
Phone
(845) 473-6144
NPI assigned
Jun 11, 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
Ms. Lisa McCloskey
Title
Office Manager
Phone
(845) 473-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

23 Davis Ave
Poughkeepsie, NY 12603-2416

Mailing address

23 Davis Ave
Poughkeepsie, NY 12603-2416
Phone (845) 473-6144

Other identifiers 1

IdentifierTypeStateIssuer
01902698MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dutchess Ambulatory Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366484776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032416",
            "telephone_number": "845-473-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032416",
            "telephone_number": "845-473-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHESS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-473-6144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01902698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.