Active NPI
George J Profeta, MD
- Pulmonary Disease Physician
- New Windsor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 187693
- Practice address
- 3078 US Route 9W
New Windsor, NY 12553-6751 - Phone
- (845) 561-3310
- Fax
- (845) 561-8728
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 187693 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 187693 | NY | Primary |
Addresses
Primary practice location
3078 US Route 9W
New Windsor, NY 12553-6751
Mailing address
3078 US Route 9W
New Windsor, NY 12553-6751
Phone (845) 561-3310
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01817005 | Medicaid | NY | |
| CE9235 | Other | NY | RR MEDICARE |
| 110161854 | Other | NY | RR MEDICARE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1460 State Route 17M
Chester, NY 10918-1054
Phone (845) 651-1400
21 Edward J Lempka Dr
Family Practice
Florida, NY 10921-0001
Phone (845) 651-1777
3078 Route 9W
Suite 100
New Windsor, NY 12553-6751
Phone (845) 561-3310
70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400
Hospital & facility affiliations
- Willcare Chha (Newburgh)
- Americare Certified Special Services, Inc Chha
- Archcare at Home
- Montefiore St Luke'S Cornwall
- Vassar Brothers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Current | Accepting new patients | |
| Horizon Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
Locations
21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733
2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400
3078 US Route 9W
New Windsor, NY 12553
Phone (845) 561-3310
3078 Route 9W
#100
New Windsor, NY 12553
Phone (845) 561-3310
3078 US Route 9W
#100
New Windsor, NY 12553
Phone (845) 561-3310
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- george.profeta@hfmg.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DGICBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Home Health Agency
- Newburgh, NY
- NPI 1609926195
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1831282912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3078 US ROUTE 9W",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125536751",
"telephone_number": "845-561-3310",
"fax_number": "845-561-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3078 US ROUTE 9W",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125536751",
"telephone_number": "845-561-3310",
"fax_number": "845-561-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFETA",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "187693",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "187693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01817005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CE9235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER ID",
"identifier": "110161854",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.