Organization Active NPI

Hudson Valley Hospital Physician PLLC

  • Internal Medicine Physician
  • Middletown, NY
National Provider Identifier
1548216831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Practice address
60 Prospect Ave
Middletown, NY 10940-4133
Phone
(845) 342-7615
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Spagnoli Pine, MDNPI 1730169830
Title
Owner
Phone
(845) 342-7615

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

60 Prospect Ave
Middletown, NY 10940-4133

Mailing address

PO Box 1013
Goshen, NY 10924-8013
Phone (845) 615-1141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548216831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109248013",
            "telephone_number": "845-615-1141",
            "fax_number": "845-294-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PROSPECT AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404133",
            "telephone_number": "845-342-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY HOSPITAL PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SPAGNOLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-342-7615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.