Organization Active NPI

Stanley C. Giudici, M.D., M.a.R ., P.C.

  • Psychiatry Physician
  • Middletown, NY
National Provider Identifier
1528248341
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
234957 Issued in NY
Legal business name
STANLEY C. GIUDICI, M.D., M.A.R ., P.C.
Practice address
75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009
Phone
(845) 692-4770
Fax
(845) 692-5199
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Ms. Giulia Preziuso
Title
Office Manager
Phone
(845) 692-4770

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 234957 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R0334641 NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 234957 NY Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 231466 NY

Addresses

Primary practice location

75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009

Mailing address

75 Crystal Run Road
Suite 125
Middletown, NY 10941-7009
Phone (845) 692-4770

Other identifiers 1

IdentifierTypeStateIssuer
02641303-03MedicaidNY

National Provider Directory

National Provider Directory

Locations

75 Crystal Run Rd
Ste 125
Middletown, NY 10941
Phone (815) 692-4770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1528248341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN ROAD",
            "address_2": "SUITE 125",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417009",
            "telephone_number": "845-692-4770",
            "fax_number": "845-692-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN ROAD",
            "address_2": "SUITE 125",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417009",
            "telephone_number": "845-692-4770",
            "fax_number": "845-692-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY C. GIUDICI, M.D., M.A.R ., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "PREZIUSO",
        "authorized_official_first_name": "GIULIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-692-4770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "234957",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0334641",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234957",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "231466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02641303-03",
            "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 Nov 4, 2009; 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.