Organization Active NPI

Hudson Valley Physicians PC

  • Specialist
  • Middletown, NY
National Provider Identifier
1477675783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
215361 Issued in NY
Legal business name
HUDSON VALLEY PHYSICIANS PC
Practice address
419 E Main St
Ste. 101
Middletown, NY 10940-2552
Phone
(845) 343-4500
Fax
(845) 343-0251
NPI assigned
Apr 6, 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
Dr. John Robert Podeszwa, MD
Title
President
Phone
(845) 343-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 171862 NY
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 215361 NY Primary

Addresses

Primary practice location

419 E Main St
Ste. 101
Middletown, NY 10940-2552

Mailing address

419 E Main St
Ste. 101
Middletown, NY 10940-2552
Phone (845) 343-4500

Other identifiers 2

IdentifierTypeStateIssuer
02148369MedicaidNY
01970621MedicaidNY

National Provider Directory

National Provider Directory

Locations

419 E Main St
Ste 101
Middletown, NY 10940
Phone (845) 343-4500

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477675783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E MAIN ST",
            "address_2": "STE. 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402552",
            "telephone_number": "845-343-4500",
            "fax_number": "845-343-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E MAIN ST",
            "address_2": "STE. 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402552",
            "telephone_number": "845-343-4500",
            "fax_number": "845-343-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PODESZWA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-343-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "171862",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "215361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148369",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01970621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.