Active NPI
Vassar Brothers Hospital Ulster Radiation Oncology Center
Doing business as Ulster Radiation Oncology Center
- Radiation Oncology Clinic/Center
- Kingston, NY
National Provider Identifier
1457426165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- License
- 1302001H
- Legal business name
- VASSAR BROTHERS HOSPITAL ULSTER RADIATION ONCOLOGY CENTER
- Doing business as
- Ulster Radiation Oncology Center
- Practice address
- 111 Mary's Avenue
Suite 1
Kingston, NY 15401-5853 - Phone
- (845) 339-7700
- Fax
- (845) 339-2316
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Joseph Debarba
- Title
- Cfo
- Phone
- (203) 314-6990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | 1302001H | NY | Primary |
Addresses
Primary practice location
111 Mary's Avenue
Suite 1
Kingston, NY 15401-5853
Mailing address
45 Reade Place
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
Other names 1
- ULSTER RADIATION ONCOLOGY CENTER
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040112000198 | NY | Part B Supplier - Radiation Therapy Center | 8729988050 | Practice locations: Kingston, NY |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Kingston, NY
- NPI 1285601237
Member Of
Locations
1351 Route 55
Ste 101
Lagrangeville, NY 12540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1457426165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 READE PLACE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-454-8500",
"fax_number": "845-838-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARY'S AVENUE",
"address_2": "SUITE 1",
"city": "KINGSTON",
"state": "NY",
"postal_code": "154015853",
"telephone_number": "845-339-7700",
"fax_number": "845-339-2316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASSAR BROTHERS HOSPITAL ULSTER RADIATION ONCOLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "DEBARBA",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "203-314-6990"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "NY",
"license": "1302001H",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ULSTER RADIATION ONCOLOGY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.