NPIMap

Individual provider Active NPI

Matthias Vonreusner, MD

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1437140233
Registry record updated Nov 6, 2009
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Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
217336-1 Issued in NY
Practice address
211 Hurley Ave
Kingston, NY 12401-2400
Phone
(845) 338-2541
Fax
(845) 339-5058
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 217336-1 NY Primary

Addresses

Primary practice location

211 Hurley Ave
Kingston, NY 12401-2400

Mailing address

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 338-2541

Other identifiers 1

IdentifierTypeStateIssuer
02093447MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430001052 NY Practitioner - Family Practice 8729076617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Ave Family Med PLLCGroup PAC ID 0648169037, 9 clinicians

Practice addresses (Care Compare)

146 Jefferson HTS
Catskill, NY 12414-1215
Phone (518) 943-6101

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 339-2804

Hospital & facility affiliations

  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Greene Meadows Nursing and Rehabilitation Center Nursing home, Catskill, NY, CCN 335574

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217336-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Avenue Medicine Community Care Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hurley Ave Family Med PLLC Family Medicine CurrentSince May 1, 2003 Accepting new patients
Hurley Avenue Family Medicine Family Medicine Past Accepting new patients
Kaaterskil Operating LLC Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

211 Hurley Ave
Kingston, NY 12401
Phone (845) 339-2804

99 Golden Hill Dr
Saint Remy, NY 12401
Phone (845) 240-4299

3190 Route 9W
Saugerties, NY 12477
Phone (845) 246-2836

Interoperability endpoints

  • Direct secure messaging: mvonreusner@hafm.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1437140233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012400",
            "telephone_number": "845-338-2541",
            "fax_number": "845-339-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012400",
            "telephone_number": "845-338-2541",
            "fax_number": "845-339-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONREUSNER",
        "first_name": "MATTHIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217336-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.