Dutchess Medical PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

145488-3 Issued in NY

Legal business name

DUTCHESS MEDICAL PC

Practice address

696 Dutchess Tpke Ste B
Poughkeepsie, NY 12603-6445

Phone

(845) 473-4537

Fax

(845) 473-7804

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis Mendoza, MD

Title

Owner

Phone

(845) 473-4537

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Alberto Paez, DC

  • Chiropractor
  • Poughkeepsie, NY
  • NPI 1154482883
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649314774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 DUTCHESS TPKE STE B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036445",
            "telephone_number": "845-473-4537",
            "fax_number": "845-473-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 DUTCHESS TPKE STE B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036445",
            "telephone_number": "845-473-4537",
            "fax_number": "845-473-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHESS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-473-4537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "145488-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENCE",
            "identifier": "145488-3",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dutchess County Division of Aging Services
• Dutchess County Health Department
• Dutchess County Social Services
• Dutchess Ear Nose and Throat PC
• Dutchess Hematology/Oncology,PLLC
• Dutchess Neurology, PLLC
• Dutchess Optometry, L.L.P.
• Dutchess Optometry, LLP
• Dutchess Optometry, LLP
• Dutchess Speech-Language Pathology Services, PLLC

• Adult Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.