Organization Active NPI

Northern Dutchess Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Kingston, NY
National Provider Identifier
1669589156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHERN DUTCHESS OBSTETRICS & GYNECOLOGY
Practice address
166 Albany Ave
Kingston, NY 12401-2530
Phone
(845) 338-5575
Fax
(845) 338-5548
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan M Gogg, RN
Title
Office Manager
Phone
(845) 338-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

166 Albany Ave
Kingston, NY 12401-2530

Mailing address

166 Albany Ave
Kingston, NY 12401-2530
Phone (845) 338-5575

National Provider Directory

National Provider Directory
Tax ID family
Northern Dutchess Obstetrics and Gynecology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

166 Albany Ave
Kingston, NY 12401
Phone (845) 331-7080

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669589156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 ALBANY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012530",
            "telephone_number": "845-338-5575",
            "fax_number": "845-338-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 ALBANY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012530",
            "telephone_number": "845-338-5575",
            "fax_number": "845-338-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DUTCHESS OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOGG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-338-5575",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • 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.