EAST HUDSON UROLOGY GROUP PC (NPI# 1801066030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801066030 |
| Entity Type | Organization |
| Organization Name | EAST HUDSON UROLOGY GROUP PC |
| Practice Address |
644 Stoneleigh Avenue Suite 301 Carmel NY 10567 |
| Mailing Address |
1985 Crompond Road Bldg D Cortlandt Manor NY 10567 |
| Practice Telephone | 8452796666 |
| Practice Fax Number | 8452796725 |
| Mailing Telephone | 9147391219 |
| Mailing Fax Number | 9147392353 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | BERNARD H FAGIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9147391219 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932379161 | East Hudson Urology Group PC | Urology | 1985 Crompond Road, Bldg D, Cortlandt Manor, NY 10567 | 2008-03-04 |
| Street Address |
644 STONELEIGH AVENUE SUITE 301 |
| City | CARMEL |
| State | NY |
| Zip Code | 10567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454101 | Daniel George Scott | Physical Therapist | 2050 E Main Street #4, Cortlandt Manor, NY 10567 | 2019-08-30 |
| 1073025482 | Chanelle Wilson | Nurse Practitioner | 249 Millington Rd, Cortlandt Manor, NY 10567 | 2017-10-26 |
| 1578961611 | Kristie Plocinski | Registered Nurse | 4 Barger St., Cortlandt Manor, NY 10567 | 2014-12-05 |
| 1215369301 | Pamela M. Turner | Licensed Practical Nurse | 1186 B Oregon Road, Cortlandt Manor, NY 10567 | 2013-07-31 |
| 1104191097 | Kim Kroeger-bushell | Registered Nurse | 7 Croton Avenue, Cortlandt Manor, NY 10567 | 2012-03-12 |
| 1013284447 | J. Murray Gruss | Dentist | 2117 Crompond Rd., Cortlandt Manor, NY 10567 | 2011-11-30 |
| 1477863793 | Lyerka Balenovic Drezga | Psychiatry & Neurology | 341 Furance Dock Rd, Unit 54, Cortlandt Manor, NY 10567 | 2010-10-20 |
| 1548599624 | Gloria Helen Jackman | Acupuncturist | 3 Sonoma Road, Cortlandt Acupuncture and Herbology, Cortlandt Manor, NY 10567 | 2009-12-18 |
| 1679807234 | Oliver Ogbonna | Social Worker | 8 Benjamin Lane, Cordtland Manor, NY 10567 | 2009-09-29 |
| 1588843445 | Janice M Parks Whitman | Social Worker | 1940 Commerence Street, Carmel Pych Assoc, Yorktown Heights, NY 10567 | 2007-10-29 |
| Find all providers in zip 10567 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841457439 | Matthew J. Mellon | Urology | 11725 N Illinois St, Ste 558, Carmel, IN 46032-3009 | 2008-05-21 |
| 1497940621 | Jay A. Motola, Md | Urology | 670 Stoneleigh Ave, Suite 209, Carmel, NY 10512-3997 | 2007-09-11 |
| 1427254945 | Ronald Boris | Urology | 11725 N Illinois St, Suite 558, Carmel, IN 46032-3008 | 2007-06-22 |
| 1487748802 | Thomas Grimaldi | Urology | 664 Stoneleigh Ave, Carmel, NY 10512-3940 | 2006-10-02 |
| 1215943683 | Gregory R Wahle | Urology | 12188a N Meridian St, Suite # 200, Carmel, IN 46032-4578 | 2006-07-31 |
| 1124032107 | John C Ramsey | Urology | 12188a N Meridian St, Suite # 200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1841204625 | David W Hollensbe | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1417961897 | Michael G. Hostetter | Urology | 12188a N Meridian St, Suite 200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1013921709 | Peter M Knapp Jr. | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| 1841204542 | Kenneth G Ney | Urology | 12188a N Meridian St, Suite #200, Carmel, IN 46032-4578 | 2006-07-28 |
| Find all providers in CARMEL | ||||
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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.