Organization Active NPI

River Valley Endocrinology, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • New Windsor, NY
National Provider Identifier
1710112529
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
187767 Issued in NY
Legal business name
RIVER VALLEY ENDOCRINOLOGY, PC
Practice address
815 Blooming Grove Tpke
Suite 400
New Windsor, NY 12553-8135
Phone
(845) 561-7902
Fax
(845) 561-0025
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Elizabeth Sofia Kaminska, MD
Title
Owner
Phone
(845) 561-7902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 187767 NY Primary

Addresses

Primary practice location

815 Blooming Grove Tpke
Suite 400
New Windsor, NY 12553-8135

Mailing address

815 Blooming Grove Tpke
Suite 400
New Windsor, NY 12553-8135
Phone (845) 561-7902

Other identifiers 1

IdentifierTypeStateIssuer
01278591MedicaidNY

National Provider Directory

National Provider Directory

Locations

815 Blooming Grove Tpke
Ste 400
New Windsor, NY 12553
Phone (845) 561-7902

3121 Route 9W
Ste 102
New Windsor, NY 12553
Phone (845) 561-7902

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1710112529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE",
            "address_2": "SUITE 400",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538135",
            "telephone_number": "845-561-7902",
            "fax_number": "845-561-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE",
            "address_2": "SUITE 400",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538135",
            "telephone_number": "845-561-7902",
            "fax_number": "845-561-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY ENDOCRINOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "KAMINSKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-561-7902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "187767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01278591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.