HUDSON RIVER HEALTHCARE, INC. (NPI# 1417352709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417352709 |
| Entity Type | Organization |
| Organization Name | HUDSON RIVER HEALTHCARE, INC. |
| Other Organization Name | HRHC SHIRLEY |
| Practice Address |
550 Montauk Hwy Hrhcare Shirley Shirley NY 11967-2114 |
| Mailing Address |
Po Box 5036 White Plains NY 10602-5036 |
| Practice Telephone | 6314903040 |
| Practice Fax Number | 6313956340 |
| Mailing Telephone | 9147348800 |
| Mailing Fax Number | 9147348786 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | ANNE K. NOLON (CEO) |
| Authorized Official Telephone | 9147348747 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUDSON RIVER HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
5901200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473038 | 05 |
| Other Name | Type Code |
|---|---|
| HRHC Shirley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174006803 | Hudson River Healthcare, Inc. | Clinic/Center | 57 Bay Street, Bay Street Health Center, Staten Island, NY 10301-2510 | 2018-09-10 |
| 1154804805 | Hudson River Healthcare, Inc. | Clinic/Center | 347 West 37th Street, Sidney R. Baer, Jr. Health Center, New York, NY 10018-4202 | 2018-09-10 |
| 1881177533 | Hudson River Healthcare, Inc. | Clinic/Center | 459 East 149th Street, The Hub Health Center, Bronx, NY 10455-1314 | 2018-09-10 |
| 1235612987 | Hudson River Healthcare, Inc. | Clinic/Center | 105 04 Sutphin Boulevard, Brightpoint Queens Health Center, Jamaica, NY 11435-5022 | 2018-09-10 |
| 1720561517 | Hudson River Healthcare, Inc. | Clinic/Center | 226 East 144th Street, Brightpoint Health Citiwide, Bronx, NY 10451-5909 | 2018-09-08 |
| 1215410105 | Hudson River Healthcare, Inc. | Clinic/Center | 803 Sterling Place, Brightpoint Brooklyn Health Center, Brooklyn, NY 11216-3903 | 2018-09-07 |
| 1932682838 | Hudson River Healthcare, Inc. | Clinic/Center | 2400 Linden Boulevard, Brightpoint Health Part 822-4 Outpatient Services, Brooklyn, NY 11208-4830 | 2018-09-07 |
| 1205288750 | Hudson River Healthcare, Inc. | Case Management | 84 N Highland Ave, Hrhcare Nyack, Nyack, NY 10960-1831 | 2016-07-08 |
| 1548324841 | Hudson River Healthcare, Inc. | Case Management | 3174 Route 220, Hudson River Healthcare, Inc., Dover Plains, NY 12522 | 2006-12-20 |
| 1740763275 | Hudson River Healthcare, Inc. | Clinic/Center | 1543-1545 Inwood Avenue, Hudson River Healthcare Adult Day Program, Bronx, NY 10452-2505 | 2018-09-11 |
| Street Address |
550 MONTAUK HWY HRHCARE SHIRLEY |
| City | SHIRLEY |
| State | NY |
| Zip Code | 11967-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378758 | Sobia Rizvi | Psychiatry & Neurology | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2006-06-01 |
| 1790329951 | Debra A Pure | Peer Specialist | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-10-31 |
| 1700428125 | Ramon Michael Monteiro | Counselor | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-10-17 |
| 1912550278 | Tracy Diorio | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-07-16 |
| 1982266060 | Jessica Poelker | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-06-28 |
| 1548665656 | Joyce Little | Social Worker | 550 Montauk Hwy, Hudson River Healthcare, Inc., Shirley, NY 11967-2114 | 2014-10-31 |
| 1154745917 | Frederica King | Registered Nurse | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2014-02-13 |
| 1083036313 | Debbie-ann Katheen Ellington-tulloch | Nurse Practitioner | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2014-01-06 |
| 1184068066 | Jacquelyn M. Gilde | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2013-04-23 |
| 1497020606 | Lisa Failla | Registered Nurse | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149744 | Dawn Kirby | Licensed Practical Nurse | 8 Crestwood Drive, Shirley, NY 11967 | 2018-10-03 |
| 1538684451 | Crystal E Gambles | Licensed Practical Nurse | 502 Wellwood Drive, Shirley, NY 11967 | 2017-08-11 |
| 1003330887 | Aura Blum Care, Inc | Licensed Practical Nurse | 436 Auborn Av, Shirley, NY 11967 | 2017-08-02 |
| 1891239687 | Holly Scott-rodriguez | Behavior Technician | 57 Probst Drive, Shirley, NY 11967 | 2016-12-13 |
| 1487106357 | Joann C Duran | Licensed Practical Nurse | 320 Decatur Avenue, East Yaphank, NY 11967 | 2016-10-26 |
| 1053776815 | Andrea Janet Murphy-hamilton | Registered Nurse | 369 Puritan Dr., N Shirley, NY 11967 | 2015-12-22 |
| 1588039598 | Thomas B Maher | Student in an Organized Health Care Education/Training Program | 483 West End Ave., Shirley, NY 11967 | 2015-12-02 |
| 1346676707 | Sharon Marie Dougherty | Social Worker | 1250 William Floyd Parkway, Shirley, NY 11967 | 2013-09-17 |
| 1083964241 | Charlotte Dametra Fleming | Licensed Practical Nurse | 420 Lakepointe Drive, Middleisland, NY 11967 | 2012-09-14 |
| 1982954277 | Sefika Dimaggio | Registered Nurse | 32 Candido Ave, Shirley, NY 11967 | 2012-09-13 |
| Find all providers in zip 11967 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.