Active NPI
Eugene Raymond Koloski, MD
- Surgery Physician
- Poughkeepsie, NY
National Provider Identifier
1497726699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 179924
- Practice address
- 30 Columbia St
Poughkeepsie, NY 12601-3906 - Phone
- (845) 231-5600
- Fax
- (845) 592-7707
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 179924 | NY | Primary |
Addresses
Primary practice location
30 Columbia St
Poughkeepsie, NY 12601-3906
Mailing address
110 S Bedford Rd
Caremount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01158332 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vassar Brothers Hospital | Past | Accepting new patients | |
| Saint Francis Hospital / Medicine | Past | Accepting new patients | |
| Valley Surgical Specialists, PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1528167442
-
- Surgery Physician
- Poughkeepsie, NY
- NPI 1013182906
-
- Community/Retail Pharmacy
- Poughkeepsie, NY
- NPI 1003799008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1497726699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"address_2": "CAREMOUNT MEDICAL PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 COLUMBIA ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013906",
"telephone_number": "845-231-5600",
"fax_number": "845-592-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLOSKI",
"first_name": "EUGENE",
"middle_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "179924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01158332",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.