Andrew J Hasbrouck

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023795 Issued in NY

Practice address

193 Huguenot St
New Paltz, NY 12561-1017

Phone

(845) 594-2908

NPI assigned

Sep 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1932758752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HUGUENOT ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611017",
            "telephone_number": "845-594-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 HUGUENOT ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611017",
            "telephone_number": "845-594-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBROUCK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Yuni Hahn
• Grace Lea Hamilton, DPT
• Benjamin Hanna, LMSW
• Whitney Harnen
• Brandon Michael Harnos, OD
• Peter Bradley Tate Haughton, MD
• Health Quest Medical Practice
• Health Quest Medical Practice
• Health Quest Medical Practice, PC
• Lauren Healy

• Physician Assistant in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.