Organization Active NPI

Hudson Dermatology, PC

  • Dermatology Physician
  • Fishkill, NY
National Provider Identifier
1508895384
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
226873 Issued in NY
Legal business name
HUDSON DERMATOLOGY, PC
Practice address
969 Main St
Suite D
Fishkill, NY 12524
Phone
(845) 896-7730
Fax
(845) 896-7758
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Hendrik Ivo Uyttendaele, M.D.NPI 1194781039
Title
President
Phone
(845) 896-7730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 226873 NY Primary

Addresses

Primary practice location

969 Main St
Suite D
Fishkill, NY 12524

Mailing address

969 Main St Ste D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Other practice location 1

55 Quaker Ave Ste 202
Cornwall, NY 12518-2026
Phone (845) 458-8188

Other practice location 2

98 Green St Ste 4
Hudson, NY 12534-2353
Phone (518) 412-3300

Other practice location 3

336 Route 202 Ste 2
Somers, NY 10589-3221
Phone (914) 617-8950

Other practice location 4

155 White Plains Rd Ste 109
Tarrytown, NY 10591-5563
Phone (914) 829-8200

Other practice location 5

40 Hurley Ave Ste 3
Kingston, NY 12401-3738
Phone (845) 338-3200

Other practice location 6

29 Fox St Fl 4
Poughkeepsie, NY 12601-4732
Phone (845) 473-2350

Other practice location 7

408 Market St
Nanuet, NY 10954-2744
Phone (845) 415-5575

Other identifiers 1

IdentifierTypeStateIssuer
04987399MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060725000350 NY Part B Supplier - Clinic/Group Practice 8022021732 Receives reassigned benefits from 43 practitioners
Practice locations: Poughkeepsie, NY; Tarrytown, NY; Somers, NY; Saratoga Springs, NY; Nanuet, NY; Hudson, NY; Hopewell Junction, NY; Fishkill, NY…

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
33D0689380Hudson Dermatology PC969 Main St, Suite D, Fishkill, NY 12524ComplianceJul 31, 2026
33D2049170Hudson Dermatology PC40 Hurley Avenue, Suite 10, Kingston, NY 12401ComplianceSep 22, 2027
33D2160298Hudson Dermatology PC155 White Plains Road, Suite 109, Tarrytown, NY 10591ComplianceSep 25, 2027
33D2256391Hudson Dermatology, PC98 Green Street, Suite 4, Hudson, NY 12534ComplianceMay 7, 2026
33D2330213Hudson Dermatology, PC408 Market St, Nanuet, NY 10954ComplianceNov 30, 2027

National Provider Directory

National Provider Directory

Locations

55 Quaker Ave
Ste 202
Cornwall, NY 12518
Phone (845) 458-8188

969 Main St
Ste D
Fishkill, NY 12524
Phone (845) 896-7730

98 Green St
Ste 4
Hudson, NY 12534
Phone (518) 412-3300

98 Green St
Hudson, NY 12534
Phone (518) 421-3300

40 Hurley Ave
Ste 3
Kingston, NY 12401
Phone (453) 383-2008

40 Hurley Ave
Ste D
Kingston, NY 12401

408 Market St
Nanuet, NY 10954
Phone (845) 415-5575

29 Fox St
Stop 4
Poughkeepsie, NY 12601
Phone (845) 454-0088

336 Route 202
Ste B1N
Somers, NY 10589
Phone (914) 556-6800

336 Route 202
Ste 2
Somers, NY 10589
Phone (914) 617-8950

155 White Plains Rd
Ste 109WING
Tarrytown, NY 10591

155 White Plains Rd
#109E
Tarrytown, NY 10591

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1508895384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST",
            "address_2": "SUITE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Quaker Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125182026",
            "country_code": "US",
            "telephone_number": "845-458-8188",
            "fax_number": "845-458-8122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Green St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342353",
            "country_code": "US",
            "telephone_number": "518-412-3300",
            "fax_number": "518-412-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Route 202 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105893221",
            "country_code": "US",
            "telephone_number": "914-617-8950",
            "fax_number": "914-617-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 White Plains Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915563",
            "country_code": "US",
            "telephone_number": "914-829-8200",
            "fax_number": "914-829-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Hurley Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013738",
            "country_code": "US",
            "telephone_number": "845-338-3200",
            "fax_number": "845-338-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Market St",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542744",
            "country_code": "US",
            "telephone_number": "845-415-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUDSON DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "UYTTENDAELE",
        "authorized_official_first_name": "HENDRIK",
        "authorized_official_middle_name": "IVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-896-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "226873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04987399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.