NPIMap

Organization Active NPI

Vassar College

  • Student Health Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1790958643
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
150836-1 Issued in NY
Legal business name
VASSAR COLLEGE
Practice address
124 Raymond Ave
Box 17
Poughkeepsie, NY 12604-0002
Phone
(845) 437-5800
Fax
(845) 437-7135
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Irena T Balawajder, M.D.NPI 1871832162
Title
Director of Health Services
Phone
(845) 437-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 150836-1 NY Primary

Addresses

Primary practice location

124 Raymond Ave
Box 17
Poughkeepsie, NY 12604-0002

Mailing address

124 Raymond Ave
Box 17
Poughkeepsie, NY 12604-0001
Phone (845) 437-5800

Other names 1

  • Vassar College Health Service Other name

National Provider Directory

National Provider Directory

Locations

124 Raymond Ave
#17
Poughkeepsie, NY 12604
Phone (845) 437-5800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1790958643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RAYMOND AVE",
            "address_2": "BOX 17",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126040001",
            "telephone_number": "845-437-5800",
            "fax_number": "845-437-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RAYMOND AVE",
            "address_2": "BOX 17",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126040002",
            "telephone_number": "845-437-5800",
            "fax_number": "845-437-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSAR COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "BALAWAJDER",
        "authorized_official_first_name": "IRENA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "845-437-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "150836-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vassar College Health Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 10, 2008; 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.