Individual provider Active NPI

Maxwell Davis Havlusch, DO

  • Hospitalist Physician
  • Newburgh, NY
National Provider Identifier
1508503293
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
336195 Issued in NY
Practice address
70 Dubois St
Newburgh, NY 12550-4851
Phone
(845) 561-4400
Fax
(845) 568-2614
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 336195 NY
Hospitalist Physician 208M00000X 336195 NY Primary

Addresses

Primary practice location

70 Dubois St
Newburgh, NY 12550-4851

Mailing address

PO Box 411730
Boston, MA 02241-1730
Phone (845) 703-6999

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815001054 NY Practitioner - Internal Medicine 7810362282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Internal Medicine Current Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Sep 1, 2025 Accepting new patients
Crystal Run Healthcare Physicians LLP Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Aug 4, 2025 Accepting new patients
Hudson Vista Medical,PC Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Healthalliance Hospital Marys Avenue Campus Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1508503293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411730",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411730",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504851",
            "telephone_number": "845-561-4400",
            "fax_number": "845-568-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLUSCH",
        "first_name": "MAXWELL",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "336195",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "336195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.