Organization Active NPI

Anthony Pucek, N. P., P.C.

  • Registered Nurse
  • Poughkeepsie, NY
National Provider Identifier
1700907581
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
278008 Issued in NY
Legal business name
ANTHONY PUCEK, N. P., P.C.
Practice address
510 Haight Avenue, Suite 102
Poughkeepsie, NY 12603-7402
Phone
(845) 485-3506
Fax
(845) 485-8780
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Anthony J. Pucek, N. P.
Title
Nurse Practitioner
Phone
(845) 227-6884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 278008 NY Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X F400002 NY

Addresses

Primary practice location

510 Haight Avenue, Suite 102
Poughkeepsie, NY 12603-7402

Mailing address

4 Hemlock Hollow Rd
Hopewell Junction, NY 12533-7402
Phone (845) 227-6884

Other identifiers 5

IdentifierTypeStateIssuer
347767OtherNYMVP
1033150OtherNYBEACON HEALTH STRATEGIES
136885OtherNYVALUEOPTIONS
5259123OtherNYAETNA
2086629OtherNYCIGNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700907581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HEMLOCK HOLLOW RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337402",
            "telephone_number": "845-227-6884",
            "fax_number": "845-227-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAIGHT AVENUE, SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037402",
            "telephone_number": "845-485-3506",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY PUCEK, N. P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PUCEK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "845-227-6884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N. P."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "278008",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "347767",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1033150",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "136885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5259123",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2086629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.