Jean Mary Hudson, MD, MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

154844 Issued in NY

Practice address

124 Main St
Goshen, NY 10924-2124

Phone

(845) 291-2332

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1386990901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SANOK DR",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162431",
            "telephone_number": "845-496-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242124",
            "telephone_number": "845-291-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JEAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473074",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Horton
• Katelyn Marie Huber, RN
• Hudson Valley Thoracic & Vascular Assoc. PLLC
• Hudson Valley Young Achievers LLC
• Dione Samantha Hudson-Douglas, NP
• Lisa Hughes
• Patricia Anne Hyland, PTA
• Soledad Hyppolite, LPN
• Pamela Wesley Ingber, LCSW
• Integrated Rheumatology Care PLLC

• Family Medicine Physician in Goshen, NY
• Providers in Goshen, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.