Active NPI
Hudson Dermatology, PC
- Dermatology Physician
- Fishkill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 226873
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04987399 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0689380 | Hudson Dermatology PC | Compliance | Jul 31, 2026 |
| 33D2049170 | Hudson Dermatology PC | Compliance | Sep 22, 2027 |
| 33D2160298 | Hudson Dermatology PC | Compliance | Sep 25, 2027 |
| 33D2256391 | Hudson Dermatology, PC | Compliance | May 7, 2026 |
| 33D2330213 | Hudson Dermatology, PC | Compliance | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Fishkill, NY
- NPI 1194781039
-
- Dermatology Physician
- Fishkill, NY
- NPI 1497142210
-
- Dermatology Physician
- Tarrytown, NY
- NPI 1902832777
-
- MOHS-Micrographic Surgery Physician
- Fishkill, NY
- NPI 1265520530
-
- Dermatology Physician
- Fishkill, NY
- NPI 1760683833
-
- Otolaryngology/Facial Plastic Surgery Physician
- Brooklyn, NY
- NPI 1902354889
-
- Dermatology Physician
- Fishkill, NY
- NPI 1538289988
-
- Dermatology Physician
- New York, NY
- NPI 1295050722
-
- Dermatology Physician
- Fishkill, NY
- NPI 1114488426
-
- Dermatology Physician
- Poughkeepsie, NY
- NPI 1609874395
-
- Dermatology Physician
- New York, NY
- NPI 1760874408
-
- Facial Plastic Surgery Physician
- Forest Hills, NY
- NPI 1346398690
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.