Hudson Valley Cardiovascular Practice, PC

Organization Active NPI Cardiovascular Disease Physician · Poughkeepsie, NY

NPI 1922435882 · NPPES record last updated Apr 15, 2024

Key facts

NPI
1922435882
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC
Practice address
1 Columbia Street
Suite 200
Poughkeepsie, NY 12601
Phone
(845) 473-1188
Fax
(845) 485-8937
NPI assigned
Oct 8, 2013
Organization subpart
No

Authorized official

Name
Daniel Debarba
Title
Chief Financial Officer
Phone
(203) 314-6990

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 87

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131220000712 NY Part B Supplier - Clinic/Group Practice 0244467181 Receives reassigned benefits from 70 practitioners
Practice locations: Poughkeepsie, NY; Rhinebeck, NY; New Windsor, NY; New Paltz, NY; Modena, NY; Margaretville, NY; Highland, NY; Carmel, NY…
O20170613002654 CT Part B Supplier - Clinic/Group Practice 0244467181 Receives reassigned benefits from 6 practitioners
Practice locations: Sharon, CT

National Provider Directory

Locations

670 Stoneleigh Ave
#1
Carmel, NY 10512

1460 State Route 17M
Chester, NY 10918
Phone (845) 469-3559

60 Merritt Blvd
Ste 200
Fishkill, NY 12524
Phone (845) 897-9760

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

2044 State Route 32
Modena, NY 12548
Phone (845) 473-1188

1 Columbia St
Ste 390
Poughkeepsie, NY 12601
Phone (845) 437-5000

1 Columbia St
Poughkeepsie, NY 12601
Phone (845) 473-1188

21 Reade Pl
Fl 4
Poughkeepsie, NY 12601
Phone (845) 214-1918

28 Spring Brook Park
Rhinebeck, NY 12572
Phone (845) 876-0508

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes
Clinical Cardiac Electrophysiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0001X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0011X

Addresses

Primary practice location

1 Columbia Street
Suite 200
Poughkeepsie, NY 12601

Mailing address

100 Reserve Rd
Danbury, CT 06810-5267

Other identifiers

IdentifierTypeStateIssuer
03799873MedicaidNY

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Hudson Valley Cardiovascular Practice, PC

Other providers in Poughkeepsie, NY

All providers in Poughkeepsie, NY · Cardiovascular Disease Physician in New York

Sources for this page

Verify at the official NPI Registry.