Organization Active NPI

Hudson Valley Foot Associates, LLP

  • Foot & Ankle Surgery Podiatrist
  • Wappingers Falls, NY
National Provider Identifier
1629255682
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HUDSON VALLEY FOOT ASSOCIATES, LLP
Practice address
1315 Route 9 Ste 205
Wappingers Falls, NY 12590-4978
Phone
(845) 297-4055
Fax
(845) 331-6894
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Mrs. Kelly Bruce
Title
Practice Administrator
Phone
(845) 339-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1315 Route 9 Ste 205
Wappingers Falls, NY 12590-4978

Mailing address

103 Hurley Ave
Kingston, NY 12401-2829
Phone (845) 339-4191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001786 NY Part B Supplier - Clinic/Group Practice 3072403369 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kingston, NY; West Coxsackie, NY; Wappingers Falls, NY; New Windsor, NY; Levittown, NY; Islip, NY; Hudson, NY; Forest Hills, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1315 Route 9
Ste 205
Wappingers Fl, NY 12590
Phone (845) 297-4055

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1629255682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012829",
            "telephone_number": "845-339-4191",
            "fax_number": "845-331-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROUTE 9 STE 205",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904978",
            "telephone_number": "845-297-4055",
            "fax_number": "845-331-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY FOOT ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "845-339-4191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.