Active NPI
Christian Hietanen, D.O.
- Pediatrics Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 235451
- Practice address
- 1 Webster Ave
Suite 302
Poughkeepsie, NY 12601-1361 - Phone
- (845) 483-5852
- Fax
- (845) 483-5413
- NPI assigned
- Mar 28, 2006
- Last updated
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 235451 | NY | Primary |
Addresses
Primary practice location
1 Webster Ave
Suite 302
Poughkeepsie, NY 12601-1361
Mailing address
1 Webster Ave Ste 302
Poughkeepsie, NY 12601-1362
Phone (845) 483-5852
Other practice location 1
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Phone (845) 452-1700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235451 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley P.C. | Pediatrics | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients | |
| Boston Children's Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| The Children's Medical Group PLLC | Pediatrics | Past | Accepting new patients |
| The Children's Medical Group PLLC | Pediatrics | Past | Accepting new patients |
| The Children's Medical Group PLLC | Pediatrics | Past | Accepting new patients |
| The Childrens Medical Group | Pediatrics | Past | Accepting new patients |
Locations
200 Westage Business Ctr Dr
Ste 111
Fishkill, NY 12524
Phone (845) 896-4505
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
1 Webster Ave
Ste 302
Poughkeepsie, NY 12601
Phone (845) 454-4200
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- chietanen@premiermedicalhv.medentdirect.com
- christian.hietanen.p1@direct.cwpw.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
Pediatrics
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Pediatrics Physician
- Rhinebeck, NY
- NPI 1396006805
-
- Pediatrics Physician
- Fishkill, NY
- NPI 1407116536
-
- Pediatrics Physician
- Hyde Park, NY
- NPI 1417217142
-
- Pediatrics Physician
- Poughkeepsie, NY
- NPI 1841224508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1558322958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 302",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011362",
"telephone_number": "845-483-5852",
"fax_number": "845-483-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE",
"address_2": "SUITE 302",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011361",
"telephone_number": "845-483-5852",
"fax_number": "845-483-5413"
}
],
"practiceLocations": [
{
"address_1": "301 Manchester Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126032587",
"country_code": "US",
"telephone_number": "845-452-1700",
"fax_number": "845-452-1752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIETANEN",
"first_name": "CHRISTIAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "235451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.