Organization Active NPI

Carol Pucek, N. P., P.C.

  • Registered Nurse
  • Poughkeepsie, NY
National Provider Identifier
1790804599
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
266501 Issued in NY
Legal business name
CAROL PUCEK, N. P., P.C.
Practice address
510 Haight Ave Ste 102
Poughkeepsie, NY 12603-2464
Phone
(845) 485-3506
Fax
(845) 485-8780
NPI assigned
Mar 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
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
Mrs. Carol L. Pucek, APRN
Title
Nurse Practitioner
Phone
(845) 227-6884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 266501 NY Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X F400301 NY

Addresses

Primary practice location

510 Haight Ave Ste 102
Poughkeepsie, NY 12603-2464

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
137118NOtherNYVALUEOPTIONS
1033150OtherNYBEACON HEALTH STRATEGIES
2053176OtherNYCIGNA
7322339OtherNYAETNA
911903OtherNYMVP
7795261OtherNYAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790804599",
    "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 AVE STE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032464",
            "telephone_number": "845-485-3506",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL PUCEK, N. P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PUCEK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "845-227-6884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "266501",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F400301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "137118N",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1033150",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2053176",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7322339",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "911903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7795261",
            "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.