NPIMap

Organization Active NPI

East Hudson Urology Group PC

  • Urology Physician
  • Carmel, NY
National Provider Identifier
1801066030
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EAST HUDSON UROLOGY GROUP PC
Practice address
644 Stoneleigh Avenue
Suite 301
Carmel, NY 10567
Phone
(845) 279-6666
Fax
(845) 279-6725
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Bernard H Fagin, MDNPI 1992811848
Title
Chief Financial Officer
Phone
(914) 739-1219

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X NY Primary

Addresses

Primary practice location

644 Stoneleigh Avenue
Suite 301
Carmel, NY 10567

Mailing address

1985 Crompond Road
BLDG D
Cortlandt Manor, NY 10567
Phone (914) 739-1219

National Provider Directory

National Provider Directory

Locations

644 Stoneleigh Ave
Ste 301
Carmel, NY 10512
Phone (845) 279-6666

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1801066030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND ROAD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-1219",
            "fax_number": "914-739-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 STONELEIGH AVENUE",
            "address_2": "SUITE 301",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "845-279-6666",
            "fax_number": "845-279-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HUDSON UROLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "FAGIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "914-739-1219",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.