Organization Active NPI

Hudson River Gynecology PC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1609468834
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HUDSON RIVER GYNECOLOGY PC
Practice address
133 E 58TH St Ste 1002
New York, NY 10022-1278
Phone
(646) 877-1187
Fax
(212) 689-3699
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Amy Bloomgarden, MDNPI 1679689343
Title
President
Phone
(646) 877-1187

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

133 E 58TH St Ste 1002
New York, NY 10022-1278

Mailing address

133 E 58TH St Ste 1002
New York, NY 10022-1278
Phone (646) 877-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426000323 NY Part B Supplier - Clinic/Group Practice 2567870975 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2230066Hudson River Gynecology PC133 East 58TH Street Suite 1002, New York, NY 10022Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1609468834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221278",
            "telephone_number": "646-877-1187",
            "fax_number": "212-689-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221278",
            "telephone_number": "646-877-1187",
            "fax_number": "212-689-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RIVER GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BLOOMGARDEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-877-1187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.

Verify at the official NPI Registry.