Individual provider Active NPI

Matthew Seiffert, M.D.

  • Family Medicine Physician
  • Ellenville, NY
National Provider Identifier
1659725992
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
300479 Issued in NY
Practice address
6 Healthy Way
Ellenville, NY 12428-5612
Phone
(845) 647-4500
Fax
(845) 647-7632
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 300479 NY Primary

Addresses

Primary practice location

6 Healthy Way
Ellenville, NY 12428-5612

Mailing address

396 Broadway
Kingston, NY 12401-4626
Phone (845) 802-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191001003001 NY Practitioner - Family Practice 3577893742 Reassigns benefits to 2 organizations
I20220919001877 TX Practitioner - Family Practice 3577893742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hurley Avenue Medicine Community CareGroup PAC ID 6103288386, 4 clinicians
Hurley Ave Family Med PLLCGroup PAC ID 0648169037, 9 clinicians

Practice addresses (Care Compare)

Kingston, NY 12401
Phone (845) 339-2804

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 339-2804

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zuni Indian Hospital CurrentSince Aug 15, 2022 Accepting new patients
Hurley Avenue Medicine Community Care Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Hurley Ave Family Med PLLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Hurley Avenue Family Medicine Family Medicine Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

211 Hurley Ave
Kingston, NY 12401
Phone (845) 339-2804

99 Golden Hill Dr
Saint Remy, NY 12401
Phone (845) 240-4299

3190 Route 9W
Saugerties, NY 12477
Phone (845) 246-2836

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1659725992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-802-7600",
            "fax_number": "845-338-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285612",
            "telephone_number": "845-647-4500",
            "fax_number": "845-647-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFFERT",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "300479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.