NPIMap

Organization Active NPI

Catskill Regional Medical Center

Doing business as CRMC Physician Services

  • Family Medicine Physician
  • Monticello, NY
National Provider Identifier
1720039563
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CATSKILL REGIONAL MEDICAL CENTER
Doing business as
CRMC Physician Services
Practice address
68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone
(845) 794-3300
Fax
(845) 794-9868
NPI assigned
May 15, 2006
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Ms. Darla May Arcidiacono
Title
Credentialing Coordinator
Phone
(845) 794-3300

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X 5263000H NY
Hematology & Oncology Physician 207RH0003X NU
Infectious Disease Physician 207RI0200X NU
Obstetrics & Gynecology Physician 207V00000X NU
Cytopathology Physician 207ZC0500X NU
Surgery Physician 208600000X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

68 Harris Bushville Rd
Monticello, NY 12701-3027

Mailing address

PO Box 421
Harris, NY 12742-0421
Phone (845) 794-3300

Other identifiers 1

IdentifierTypeStateIssuer
02339375MedicaidNY

Other names 1

  • CRMC Physician Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061108000540 NY Part A Provider - Hospital 4688666829 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harris, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720039563. Details of each certification follow.

Hospital certification: CCN 330386

Legal name
GARNET HEALTH MEDICAL CENTER CATSKILLS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 9, 1977
Last certification
Mar 12, 2024
Beds
164
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 1967 in NY
Enrollment address
68 Harris Bushville Rd
Harris, NY 12742
Other Hospital Practice Location
Hospital subgroups
Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Garnet Health Medical Center CatskillsCCN 330386 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Lander Individual Corporate DirectorChairman Jan 1, 2018
Jill Embler Individual W-2 Managing EmployeeVice President Jan 1, 2020
Dory H Alport Individual Corporate DirectorTreasurer/Secretary Jan 1, 2018
Andrew Pavloff Individual Corporate OfficerVice Chair Jan 1, 2018
Alfred Pilong Individual Corporate OfficerChief Executive Officer Jan 1, 2022
James P Grigg Individual Corporate OfficerCfo Jan 1, 2018
Robert F Davison Individual W-2 Managing EmployeeDirector, Budget and Management Jan 1, 2018

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 98

Affiliated clinicians 288

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 288

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1720039563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127420421",
            "telephone_number": "845-794-3300",
            "fax_number": "845-794-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013027",
            "telephone_number": "845-794-3300",
            "fax_number": "845-794-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATSKILL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ARCIDIACONO",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "845-794-3300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "5263000H",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02339375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRMC Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.