HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS (NPI# 1265484489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265484489 |
| Entity Type | Organization |
| Organization Name | HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS |
| Other Organization Name | THE KINGSTON HOSPITAL |
| Practice Address |
396 Broadway Kingston NY 12401-4652 |
| Practice Telephone | 8453313131 |
| Practice Fax Number | 8459436077 |
| Mailing Telephone | 8453313131 |
| Mailing Fax Number | 8459436077 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. JOSEPH MARSICOVETE (CEO) |
| Authorized Official Telephone | 8453342750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00274048 | 05 |
| Other Name | Type Code |
|---|---|
| The Kingston Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989041 | Healthalliance Hospital Broadway Campus | Clinic/Center | 37 Albany Ave, Kingston, NY 12401-2902 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS | Executive Office At Taylor, 100 Woods Road Attn Gc, Valhalla, New York 10595 |
| Street Address |
396 BROADWAY |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026653 | Harold E Gardner | Nurse Anesthetist, Certified Registered | 396 Broadway, Kingston, NY 12401-4626 | 2005-07-08 |
| 1144843111 | Vahe Matnishian | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-05-25 |
| 1093334351 | Brett Saltrick | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-04-15 |
| 1043877186 | Gaithe St Cyr | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2019-05-23 |
| 1972099646 | Michael Aaron Kurek | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-07-06 |
| 1366932907 | Marissa L Mertens | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-05-17 |
| 1053816215 | Gregory Joseph Nero | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2018-03-28 |
| 1649782129 | Candace Chelsea Chin | Pharmacist | 396 Broadway, Kingston, NY 12401-4626 | 2017-10-24 |
| 1609397512 | Lanny L Cleary | Nurse Practitioner | 396 Broadway, Kingston, NY 12401-4626 | 2017-06-30 |
| 1891239737 | Ashley Arzadon | Podiatrist | 396 Broadway, Kingston, NY 12401-4626 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558730556 | Mount Sinai Beth Israel | General Acute Care Hospital | 2167 Sawkill Ruby Rd, Kingston, NY 12401-7127 | 2015-09-20 |
| 1932182599 | Healthalliance Marys Avenue Campus | General Acute Care Hospital | 105 Marys Ave, Kingston, NY 12401-5848 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.