Organization Active NPI

Putnam County Department of Health

  • Public Health or Welfare Agency
  • Brewster, NY
National Provider Identifier
1376895953
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1342621 Issued in NY
Legal business name
PUTNAM COUNTY DEPARTMENT OF HEALTH
Practice address
1 Geneva Rd
Brewster, NY 10509-2339
Phone
(845) 808-1390
Fax
(845) 278-7921
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael J Nesheiwat, M.D.
Title
Commissioner
Phone
(845) 808-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1342621 NY Primary

Addresses

Primary practice location

1 Geneva Rd
Brewster, NY 10509-2339

Mailing address

1 Geneva Rd
Brewster, NY 10509-2339

Other identifiers 1

IdentifierTypeStateIssuer
03001049MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Putnam County Department of Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1 Geneva Rd
Brewster, NY 10509
Phone (845) 808-1390

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1376895953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENEVA RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENEVA RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092339",
            "telephone_number": "845-808-1390",
            "fax_number": "845-278-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "NESHEIWAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "845-808-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "1342621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03001049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.