Organization Active NPI

Ulster Family Medicine, LLP

  • Family Medicine Physician
  • Kerhonkson, NY
National Provider Identifier
1861580326
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ULSTER FAMILY MEDICINE, LLP
Practice address
Lower Granite Road
Kerhonkson, NY 12446
Phone
(845) 626-3445
Fax
(845) 626-4732
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Rosemary A Deleo, MD
Title
Owner
Phone
(845) 338-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

Lower Granite Road
Kerhonkson, NY 12446

Mailing address

35 Barbarossa LN
Kingston, NY 12401-1221
Phone (845) 338-3737

Other identifiers 3

IdentifierTypeStateIssuer
02066264MedicaidNY
73660OtherNYMVP GROUP NUMBER
8577OtherNYCDPHP GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

35 Barbarossa Ln
Kingston, NY 12401
Phone (845) 338-3737

Practitioners & affiliated clinicians

Practitioners 4

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1861580326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011221",
            "telephone_number": "845-338-3737",
            "fax_number": "845-338-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOWER GRANITE ROAD",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "12446",
            "telephone_number": "845-626-3445",
            "fax_number": "845-626-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULSTER FAMILY MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DELEO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-338-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066264",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP GROUP NUMBER",
            "identifier": "73660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GROUP NUMBER",
            "identifier": "8577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerhonkson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.