Active NPI
Marc Tack, DO
- Infectious Disease Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 191978
- Practice address
- 360 Washington Ave
Kingston, NY 12401-3702 - Phone
- (845) 338-7140
- Fax
- (845) 338-7141
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 191978 | NY | Primary |
Addresses
Primary practice location
360 Washington Ave
Kingston, NY 12401-3702
Mailing address
360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140
Hospital & facility affiliations
- Archcare at Home
- Healthalliance Hospital Marys Avenue Campus
- Northern Dutchess Hospital
- Westchester Medical Center
- Margaretville Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.82 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 79.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191978 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of the Hudson Valley | Infectious Disease | Current | Accepting new patients |
Locations
360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140
368 Broadway
Ste 303
Kingston, NY 12401
Phone (845) 338-7140
Interoperability endpoints
- mtack@direct.health-quest.org
- mtack@mahv.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Kingston, NY
- NPI 1700966801
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- Critical Access Hospital
- Margaretville, NY
- NPI 1164473039
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1376582015",
"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": "360 WASHINGTON AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013702",
"telephone_number": "845-338-7140",
"fax_number": "845-338-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACK",
"first_name": "MARC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "191978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.