Organization Active NPI

Advanced Kidney Care of Hudson Valley, PC

  • Nephrology Physician
  • Poughkeepsie, NY
National Provider Identifier
1629357769
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ADVANCED KIDNEY CARE OF HUDSON VALLEY, PC
Practice address
9 Livingston St
Suite 1N
Poughkeepsie, NY 12601-4719
Phone
(845) 471-1335
Fax
(845) 397-1333
NPI assigned
Aug 8, 2011
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Shawn Dhupar, MDNPI 1053374934
Title
MD
Phone
(845) 561-6191

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
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

9 Livingston St
Suite 1N
Poughkeepsie, NY 12601-4719

Mailing address

169 N Plank Rd
Newburgh, NY 12550-1723
Phone (845) 561-6191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000225 NY Part B Supplier - Clinic/Group Practice 0143493817 Receives reassigned benefits from 15 practitioners
Practice locations: Wappingers Falls, NY; Rhinebeck, NY; Poughkeepsie, NY; Highland, NY; Newburgh, NY; Beacon, NY; Cornwall, NY; Fishkill, NY…

National Provider Directory

National Provider Directory

Locations

19 Laurel Ave
Fl 1
Cornwall, NY 12518

37 Albany Ave
Kingston, NY 12401
Phone (845) 334-2821

425 Robinson Ave
Ste 1
Newburgh, NY 12550
Phone (845) 454-1399

231 North Rd
Poughkeepsie, NY 12601
Phone (845) 471-1335

2585 South Rd
#15A
Poughkeepsie, NY 12601
Phone (845) 454-1399

2685 S Rd
Poughkeepsie, NY 12601
Phone (845) 454-1399

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1629357769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501723",
            "telephone_number": "845-561-6191",
            "fax_number": "845-561-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIVINGSTON ST",
            "address_2": "SUITE 1N",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014719",
            "telephone_number": "845-471-1335",
            "fax_number": "845-397-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE OF HUDSON VALLEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DHUPAR",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-561-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "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 May 21, 2013; 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.