Active NPI
Nancy Eos, M.D.
- Family Medicine Physician
- Kingston, NY
National Provider Identifier
1447238191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 220644
- Practice address
- 2821 Route 209
Kingston, NY 12401-7661 - Phone
- (845) 292-0522
- NPI assigned
- Jan 4, 2006
- Last updated
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 220644 | NY | Primary |
Addresses
Primary practice location
2821 Route 209
Kingston, NY 12401-7661
Mailing address
PO Box 426
High Falls, NY 12440-0426
Phone (845) 292-0522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02166374 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050328000134 | NY | Practitioner - General Practice | 4284680877 | Practice locations: Kingston, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220644 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1447238191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 426",
"city": "HIGH FALLS",
"state": "NY",
"postal_code": "124400426",
"telephone_number": "845-292-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 ROUTE 209",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124017661",
"telephone_number": "845-292-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EOS",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "220644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02166374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
- Empire Vision Center Inc (Empire Vision Centers)
- Cheryl Noel Engel, PH. D.
- Victoria Ann Engel, D.O.
- Christine England, FNP-BC
- Kathleen Rose Ensor, LMSW
- Andrea Melodie Epstein, MA
- Joseph C. Erena, D.D.S.
- Peter Joseph Errico, PHARMD
- Errol R. Nadler LCSW, P.C. (Behavioral HealthCare of New York)
- Riccardo J Esposito, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.