NPIMap

Organization Active NPI

Mid-Valley Comprehensive OB-GYN PC

  • Obstetrics & Gynecology Physician
  • Kingston, NY
National Provider Identifier
1821259615
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
196507 Issued in NY
Legal business name
MID-VALLEY COMPREHENSIVE OB-GYN PC
Practice address
40 Hurley Ave
Kingston, NY 12401-3739
Phone
(845) 481-4055
Fax
(845) 514-2266
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Elaine P CrosbyNPI 1770548174
Title
MD
Phone
(845) 481-4055

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 196507 NY Primary

Addresses

Primary practice location

40 Hurley Ave
Kingston, NY 12401-3739

Mailing address

PO Box 8084
Kingston, NY 12402-8084
Phone (845) 481-4055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000692 NY Part B Supplier - Clinic/Group Practice 5092845222 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory
Tax ID family
Mid Valley Comprehensive OBGYN PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 Hurley Ave
Ste 7
Kingston, NY 12401
Phone (845) 339-3510

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1821259615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8084",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124028084",
            "telephone_number": "845-481-4055",
            "fax_number": "845-514-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-481-4055",
            "fax_number": "845-514-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY COMPREHENSIVE OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-481-4055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "196507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.