Organization Active NPI

Rhinebeck Pediatric Associates, PC

  • Pediatrics Physician
  • Hyde Park, NY
National Provider Identifier
1437286598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RHINEBECK PEDIATRIC ASSOCIATES, PC
Practice address
7 Pine Woods Rd
Hyde Park, NY 12538-1650
Phone
(845) 229-8870
NPI assigned
Feb 27, 2007
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
Mrs. Gail R Nussbaum
Title
Practice Manager
Phone
(845) 229-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

7 Pine Woods Rd
Hyde Park, NY 12538-1650

Mailing address

7 Pine Woods Rd
Hyde Park, NY 12538-1650
Phone (845) 229-8870

Other identifiers 1

IdentifierTypeStateIssuer
00429209MedicaidNY

National Provider Directory

National Provider Directory

Locations

7 Pine Woods Rd
Hyde Park, NY 12538
Phone (845) 229-8870

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437286598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PINE WOODS RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381650",
            "telephone_number": "845-229-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PINE WOODS RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381650",
            "telephone_number": "845-229-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHINEBECK PEDIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "845-229-8870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00429209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, 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.