NPIMap

Individual provider Active NPI

Eric B Stamberg, MD

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1659392215
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206273 Issued in NY
Practice address
334 Plaza Rd
Kingston, NY 12401-2975
Phone
(845) 338-0180
Fax
(845) 338-4725
NPI assigned
Jul 21, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 206273 NY
Family Medicine Physician 207Q00000X 206273 NY Primary
Hospitalist Physician 208M00000X 206273 NY

Addresses

Primary practice location

334 Plaza Rd
Kingston, NY 12401-2975

Mailing address

1351 Route 55 Ste 200
Lagrangeville, NY 12540-5128
Phone (845) 475-9661

Other identifiers 1

IdentifierTypeStateIssuer
01896253MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000068 NY Practitioner - Family Practice 1254364599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

334 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 338-0180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206273NYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Apr 18, 2011 Accepting new patients
Prime Care Physicians, P.L.L.C. Family Medicine Past Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients
Health Quest Medical Practice, PC Past Accepting new patients
Prime Care Physicians, P.L.L.C. Family Medicine Past Accepting new patients

Locations

334 Plaza Rd
Kingston, NY 12401
Phone (845) 338-0180

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

40 Hurley Ave
Ste 18
Kingston, NY 12401
Phone (845) 338-0180

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

279 Main St
Ste 201
New Paltz, NY 12561
Phone (845) 255-2930

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

1530 Route 9
Wappingers Fl, NY 12590
Phone (845) 297-2511

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1659392215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55 STE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405128",
            "telephone_number": "845-475-9661",
            "fax_number": "845-475-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 PLAZA RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012975",
            "telephone_number": "845-338-0180",
            "fax_number": "845-338-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBERG",
        "first_name": "ERIC",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "206273",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206273",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "206273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.