Organization Active NPI

Medicine Horse Farm Corp

  • PACE Provider Organization
  • Morrisonville, NY
National Provider Identifier
1912408477
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
MEDICINE HORSE FARM CORP
Practice address
38 Lizzies Lane
Morrisonville, NY 12962
Phone
(518) 566-7217
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Marie Ann Postiglione-Dupell
Title
Ceo/ Instructor
Phone
(518) 566-7217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NY Primary

Addresses

Primary practice location

38 Lizzies Lane
Morrisonville, NY 12962

Mailing address

38 Lizzies Lane
Morrisonville, NY 12962
Phone (518) 566-7217

Other identifiers 1

IdentifierTypeStateIssuer
03257509OtherNYMEDICAID PROVIDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1912408477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LIZZIES LANE",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "12962",
            "telephone_number": "518-566-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LIZZIES LANE",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "12962",
            "telephone_number": "518-566-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE HORSE FARM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "POSTIGLIONE-DUPELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/ INSTRUCTOR",
        "authorized_official_telephone_number": "518-566-7217"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER #",
            "identifier": "03257509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.