Organization Active NPI

Daniel Hafner Physician PC

  • Internal Medicine Physician
  • Kingston, NY
National Provider Identifier
1932308871
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
115129 Issued in NY
Legal business name
DANIEL HAFNER PHYSICIAN PC
Practice address
63 Hurley Ave
Kingston, NY 12401-2832
Phone
(845) 331-6169
Fax
(845) 331-0681
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Daniel G Hafner, M.D.NPI 1306817366
Title
Provider
Phone
(845) 331-6169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 115129 NY Primary

Addresses

Primary practice location

63 Hurley Ave
Kingston, NY 12401-2832

Mailing address

63 Hurley Ave
Kingston, NY 12401-2832
Phone (845) 331-6169

Other identifiers 1

IdentifierTypeStateIssuer
00211541MedicaidNY

National Provider Directory

National Provider Directory

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1932308871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012832",
            "telephone_number": "845-331-6169",
            "fax_number": "845-331-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012832",
            "telephone_number": "845-331-6169",
            "fax_number": "845-331-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL HAFNER PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "HAFNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "845-331-6169",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "115129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00211541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.