NPIMap

Organization Active NPI

Hudson Valley Cardiovascular Practice, PC

  • Cardiovascular Disease Physician
  • Poughkeepsie, NY
National Provider Identifier
1922435882
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 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
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 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

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

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

National Provider Directory

Locations

50 Hospital Hill Rd
Fl 2
Sharon, CT 06069
Phone (203) 809-9110

150 Route 52
Carmel, NY 10512
Phone (845) 228-2910

670 Stoneleigh Ave
#1
Carmel, NY 10512

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

60 Merritt Blvd
Fishkill, NY 12524
Phone (845) 440-1280

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

6405 Yellowstone Blvd
Ste CF104
Forest Hills, NY 11375
Phone (347) 836-3045

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

514 State Route 299
Highland, NY 12528
Phone (845) 691-9200

33 Grand St
Ste 53
Kingston, NY 12401

33 Grand St
Ste 55
Kingston, NY 12401

42158 State Highway 28
Margaretville, NY 12455
Phone (845) 586-1800

1 Columbia St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 473-1188

21 Reade Pl
#4
Poughkeepsie, NY 12601

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

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1922435882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RESERVE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA STREET",
            "address_2": "SUITE 200",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-473-1188",
            "fax_number": "845-485-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2024-04-15",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "DEBARBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-314-6990"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Hudson Valley Cardiovascular Practice, PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.