Active NPI
Hudson Valley Clinica Medica
- Internal Medicine Physician
- Monroe, NY
National Provider Identifier
1811598055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HUDSON VALLEY CLINICA MEDICA
- Practice address
- 110 Stage Rd
Monroe, NY 10950-3513 - Phone
- (347) 400-1507
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Noah Gutierrez, MD
- Title
- Medical Director
- Phone
- (347) 400-1507
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
110 Stage Rd
Monroe, NY 10950-3513
Mailing address
110 Stage Rd
Monroe, NY 10950-3513
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699083154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604448000000",
"number": "1811598055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 STAGE RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109503513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 STAGE RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109503513",
"telephone_number": "347-400-1507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON VALLEY CLINICA MEDICA",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "NOAH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "347-400-1507",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.