Hudson Valley Ambulatory Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HUDSON VALLEY AMBULATORY SURGERY, LLC

Practice address

75 Crystal Run Rd
BLDG. B, Suite #225
Middletown, NY 10941-7000

Phone

(845) 692-9900

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randy J. Hagen, MBA

Title

Administrator

Phone

(845) 692-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Hudson Valley Ambulatory Surgery LLCCCN 33C0001094

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Family Footcare Group LLP

  • Foot Surgery Podiatrist
  • Callicoon, NY
  • NPI 1972792539

  Member Of

  NPD member
• Garnet Health Medical Center

  • Rehabilitation Hospital
  • Middletown, NY
  • NPI 1912968348

  Member Of

  NPD member

Locations

Practitioners 1

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

• Ofer Jacobowitz, M. D.,PHD

  • Sleep Medicine (Otolaryngology) Physician
  • New York, NY
  • NPI 1285617381
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1801944343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "BLDG. B, SUITE #225",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-692-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "BLDG. B, SUITE #225",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-692-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY AMBULATORY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-692-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanying Huang
• Stephen Michael Huber, RPH
• Hudson Highlands Dentistry, LLC
• Hudson Pain Medicine, P.C
• Hudson Regional LTC Pharmacy Inc
• Hudson Valley D.D.S.O.
• Hudson Valley Ear, Nose & Throat, P. C.
• Hudson Valley Emergency Physicians
• Hudson Valley Hematology Oncology Associates, RLLP
• Hudson Valley Hematology-Oncology,PLLC

• All providers in Middletown, NY
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.