Organization Active NPI

Dutchess Ear Nose and Throat PC

  • Otolaryngology Physician
  • Poughkeepsie, NY
National Provider Identifier
1376633396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
147245 Issued in NY
Legal business name
DUTCHESS EAR NOSE AND THROAT PC
Practice address
102 Fulton Ave
Ste D
Poughkeepsie, NY 12603
Phone
(845) 473-8600
Fax
(845) 473-8654
NPI assigned
Oct 13, 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
James Edward Meltzer, MDNPI 1003906025
Title
President
Phone
(845) 473-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 147245 NY Primary

Addresses

Primary practice location

102 Fulton Ave
Ste D
Poughkeepsie, NY 12603

Mailing address

102 Fulton Ave
Ste D
Poughkeepsie, NY 12603
Phone (845) 473-8600

Other names 1

  • Personal Corporation Other name

National Provider Directory

National Provider Directory

Locations

102 Fulton Ave
Ste D
Poughkeepsie, NY 12603
Phone (845) 473-8600

102 Fulton Ave
Ste D
Poughkeepsie, NY 12603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376633396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FULTON AVE",
            "address_2": "STE D",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-473-8600",
            "fax_number": "845-473-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FULTON AVE",
            "address_2": "STE D",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-473-8600",
            "fax_number": "845-473-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHESS EAR NOSE AND THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-473-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "147245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.