Orsa Medicine P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ORSA MEDICINE P.C.

Practice address

361 Broadway
Kingston, NY 12401-5151

Phone

(646) 250-1963

NPI assigned

Jul 15, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Bouchard, MDNPI 1699708883

Title

Medical Director and President

Phone

(646) 250-1963

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nicole Colette Bouchard, MD

  • General Practice Physician
  • Kingston, NY
  • NPI 1699708883
  NPD Authorized official

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1588555684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 UPPER WHITFIELD RD",
            "city": "ACCORD",
            "state": "NY",
            "postal_code": "124045930",
            "telephone_number": "646-250-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015151",
            "telephone_number": "646-250-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORSA MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "646-250-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.