Individual provider Active NPI

Albert P Hirdt

  • Allergy & Immunology Physician
  • Walden, NY
National Provider Identifier
1396792636
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
168541 Issued in NY
Practice address
23 Kaprolet LN
Walden, NY 12586-2449
Phone
(845) 566-0563
Fax
(845) 566-0767
NPI assigned
May 30, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 168541 NY Primary

Addresses

Primary practice location

23 Kaprolet LN
Walden, NY 12586-2449

Mailing address

23 Kaprolet LN
Walden, NY 12586-2449
Phone (845) 566-0563

Other identifiers 1

IdentifierTypeStateIssuer
01136149MedicaidNY

Other names 1

  • Albert P Hirdt Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000395 NY Practitioner - Allergy/Immunology 6002083938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Albert P Hirdt DO PC CurrentSince Mar 2, 1990 Accepting new patients
Veeone Medical Group PA Past Accepting new patients

Locations

40 Sunset Ridge Rd
Ste 200
New Paltz, NY 12561
Phone (845) 255-6023

4 Victory Ct
Newburgh, NY 12550
Phone (845) 565-2477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1396792636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KAPROLET LN",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862449",
            "telephone_number": "845-566-0563",
            "fax_number": "845-566-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KAPROLET LN",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125862449",
            "telephone_number": "845-566-0563",
            "fax_number": "845-566-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRDT",
        "first_name": "ALBERT",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "168541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERT",
            "last_name": "HIRDT",
            "middle_name": "P",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walden, NY

Sources for this page

Verify at the official NPI Registry.