Organization Active NPI

Michael a. Kalvert MD PC

  • Specialist
  • New City, NY
National Provider Identifier
1851482251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD103700 Issued in NY
Legal business name
MICHAEL A. KALVERT MD PC
Practice address
365 S Main St
New City, NY 10956-3061
Phone
(845) 638-2101
Fax
(845) 638-0418
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Alan Kalvert, M.D.
Title
President
Phone
(845) 638-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD103700 NY Primary

Addresses

Primary practice location

365 S Main St
New City, NY 10956-3061

Mailing address

365 S Main St
New City, NY 10956-3061
Phone (845) 638-2101

Other identifiers 1

IdentifierTypeStateIssuer
00502612MedicaidNY

National Provider Directory

National Provider Directory

Locations

339 N Main St
Ste 8
New City, NY 10956
Phone (845) 638-2101

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851482251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563061",
            "telephone_number": "845-638-2101",
            "fax_number": "845-638-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563061",
            "telephone_number": "845-638-2101",
            "fax_number": "845-638-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. KALVERT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALVERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-638-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "MD103700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00502612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.