Organization Active NPI

Hudson Medical Services PC

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1821239328
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208757 Issued in NY
Legal business name
HUDSON MEDICAL SERVICES PC
Practice address
175 Memorial Hwy Ste 2-6
New Rochelle, NY 10801-5640
Phone
(914) 355-4500
Fax
(914) 355-5397
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Dr. Kyle A Lipton, M.D.NPI 1144292707
Title
Doctor
Phone
(917) 656-0142

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 208757 NY Primary

Addresses

Primary practice location

175 Memorial Hwy Ste 2-6
New Rochelle, NY 10801-5640

Mailing address

PO Box 503
Larchmont, NY 10538-0503
Phone (917) 656-0142

Other identifiers 1

IdentifierTypeStateIssuer
02622791MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000019 NY Part B Supplier - Clinic/Group Practice 3870650559 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2002547Hudson Medical Services, PC175 Memorial Highway Suite 2-6, New Rochelle, NY 10801Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1821239328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105380503",
            "telephone_number": "917-656-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY STE 2-6",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015640",
            "telephone_number": "914-355-4500",
            "fax_number": "914-355-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "917-656-0142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "208757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02622791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.