NPIMap

Organization Active NPI

Health Quest Medical Practice, PC

  • Family Medicine Physician
  • Modena, NY
National Provider Identifier
1992190722
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH QUEST MEDICAL PRACTICE, PC
Practice address
2044 Route 32
Suite4
Modena, NY 12548
Phone
(845) 883-5176
Fax
(845) 883-5177
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Ronald Tatelbaum, MD
Title
President
Phone
(845) 475-9635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2044 Route 32
Suite4
Modena, NY 12548

Mailing address

1351 Route 55
Suite 200
Lagrangeville, NY 12540-5108
Phone (845) 475-9661

Other names 1

  • Modena PCP Other name

National Provider Directory

National Provider Directory
Tax ID family
Health Quest Medical Practice PC176 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1992190722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROUTE 55",
            "address_2": "SUITE 200",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405108",
            "telephone_number": "845-475-9661",
            "fax_number": "845-475-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 ROUTE 32",
            "address_2": "SUITE4",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "12548",
            "telephone_number": "845-883-5176",
            "fax_number": "845-883-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "TATELBAUM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-475-9635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modena PCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.