Individual provider Active NPI

Laura J Decker, MD

  • Family Medicine Physician
  • Saugerties, NY
National Provider Identifier
1649273202
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195667-1 Issued in NY
Practice address
16 W Bridge St
Saugerties, NY 12477-1415
Phone
(845) 246-3000
Fax
(845) 246-7622
NPI assigned
May 27, 2005
Last updated
May 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 195667-1 NY Primary

Addresses

Primary practice location

16 W Bridge St
Saugerties, NY 12477-1415

Mailing address

16 West Bridge St
Saugerties, NY 12477
Phone (845) 246-3000

Other identifiers 7

IdentifierTypeStateIssuer
01674235MedicaidNY
LD06883010OtherEMPIRE BLUE CROSS
087231OtherNYMVP
080117483OtherRAILROAD MEDICARE
215424OtherWELLCARE
10031712OtherNYCDPHP
69117OtherGHI HMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202001043 NY Practitioner - Family Practice 6507817913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eugene P Heslin MD PCGroup PAC ID 0840249140, 5 clinicians

Practice addresses (Care Compare)

16 W Bridge St
Saugerties, NY 12477-1415
Phone (845) 246-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
195667-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene P Heslin MD PC Family Medicine CurrentSince Jul 1, 1996 Accepting new patients
Prime Care Physicians, P.L.L.C. Family Medicine Past Accepting new patients

Locations

16 W Bridge St
Saugerties, NY 12477
Phone (845) 246-3000

16 W Bridge St
#P
Saugerties, NY 12477
Phone (845) 246-3000

16 W Bridge St
Ste 1
Saugerties, NY 12477
Phone (845) 246-3000

Interoperability endpoints

  • Direct secure messaging: laura.decker@bsfm.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1649273202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WEST BRIDGE ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "12477",
            "telephone_number": "845-246-3000",
            "fax_number": "845-246-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W BRIDGE ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124771415",
            "telephone_number": "845-246-3000",
            "fax_number": "845-246-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195667-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01674235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "LD06883010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "087231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080117483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "215424",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10031712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "69117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.