PORT JERVIS MEDICAL, PLLC (NPI# 1912181660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912181660 |
| Entity Type | Organization |
| Organization Name | PORT JERVIS MEDICAL, PLLC |
| Other Organization Name | ADVANCED HEALTH |
| Practice Address |
32 Pine Tree Dr Poughkeepsie NY 12603-5224 |
| Practice Telephone | 8454624000 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-09-27 |
| Authorized Official Name | JACOB RECKESS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5704914164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Health | Doing Business As Name - Organization |
| Street Address |
32 PINE TREE DR |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740239 | Robert Mckee | Internal Medicine | 7 Fair Oaks Dr, Poughkeepsie, NY 12603-5442 | 2010-05-13 |
| 1134373202 | Joanne Puccio | Internal Medicine | 18 Fair Way, Poughkeepsie, NY 12603-5015 | 2008-11-15 |
| 1255506366 | Subbarao Choudry | Internal Medicine | 159 Barnegat Rd Lowr Level, Poughkeepsie, NY 12601-5401 | 2008-04-29 |
| 1710002613 | Obinna A Isiadinso | Internal Medicine | 19 Wood St, Poughkeepsie, NY 12603-4411 | 2007-03-20 |
| 1972639169 | Vinit K Shah | Internal Medicine | 101 Cramer Rd, Poughkeepsie, NY 12603-6311 | 2007-02-24 |
| 1962503433 | Gopa Rahman | Internal Medicine | 243 North Rd Suite 201n, 243 North Rd Suite 201, Poughkeepsie, NY 12601 | 2006-09-26 |
| 1215038328 | Aruna Bakhru | Internal Medicine | 22 Ibm Rd, Suite 104b, Poughkeepsie, NY 12601-5455 | 2006-09-25 |
| 1679676100 | Kevin K H Lieu | Internal Medicine | 149 Grand Ave, Poughkeepsie, NY 12603 | 2006-09-07 |
| 1154424224 | John C Bendheim | Internal Medicine | 1 Columbia Street, Poughkeepsie, NY 12601 | 2006-09-06 |
| 1598872848 | Steven David Taft | Internal Medicine | 17 Whitehouse Ave, Poughkeepsie, NY 12601 | 2006-08-24 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
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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.