NPIMap

Organization Active NPI

Hudson Valley Regional Community Health Centers Inc

  • Clinic/Center
  • Brewster, NY
National Provider Identifier
1477051589
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3922200R Issued in NY
Legal business name
HUDSON VALLEY REGIONAL COMMUNITY HEALTH CENTERS INC
Practice address
15 Mount Ebo Rd S
Brewster, NY 10509-4004
Phone
(845) 878-9078
NPI assigned
Jan 24, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Howard Yager
Title
Chairman of the Board
Phone
(845) 878-9078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3922200R NY Primary

Addresses

Primary practice location

15 Mount Ebo Rd S
Brewster, NY 10509-4004

Mailing address

15 Mount Ebo Rd S
Brewster, NY 10509-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180321002010 NY Part B Supplier - Clinic/Group Practice 3779845284 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Brewster, NY; Poughkeepsie, NY
O20181115002351 NY Part A Provider - Federally Qualified Health Center (FQHC) 3779845284 Practice locations: Brewster, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477051589. Details of each certification follow.

Federally qualified health center certification: CCN 571135

Legal name
HUDSON VALLEY REGIONAL COMMUNITY HEALTH CENTERS INC
Doing business as
HUDSON VALLEY REGIONAL COMMUNITY HEALTH CENTERS, INC. -PUTNAM
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 29, 2018
Last certification
Nov 29, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 2017 in NY
Enrollment address
15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509-4092

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1067267Hudson Valley Regional Community Health15 Mount Ebo Rd - Suite 1, Brewster, NY 10509Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

301 Manchester Rd
Ste 1
Poughkeepsie, NY 12603

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John O'Connor Individual Corporate Officer Apr 30, 2024
Szymon Kurpios Individual Corporate Officer Jun 20, 2024
Edwin Alvarez Individual Corporate OfficerBoard Member Apr 1, 2017
Ronald Desilva Individual Corporate Officer Jun 30, 2024
Susan Meola Individual Corporate OfficerChief Financial Officer Apr 1, 2017
W-2 Managing EmployeeChief Financial Officer Apr 1, 2017
William R Miller Individual Corporate Officer Apr 30, 2024
Joseph Petriello Individual Corporate Officer Apr 23, 2025
Ann Loscalzo Individual Corporate Officer Jan 21, 2020
Teddie Kahn Individual Corporate Officer Jun 30, 2025
Lew Enker Individual Corporate Officer Jan 12, 2020
Howard Yager Individual Corporate OfficerChief Executive Officer Jun 15, 2022
W-2 Managing Employee Jun 15, 2022
Maurice Coley Individual Corporate Officer Jan 12, 2021

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hudson Valley Regional Community Health Centers IncPoughkeepsie, NY, CCN 571136 Federally qualified health center Operational/Managerial Control Jan 15, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1477051589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094004",
            "telephone_number": "845-878-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY REGIONAL COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "YAGER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "845-878-9078"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "3922200R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.