MARC TACK (NPI# 1376582015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376582015 |
| Entity Type | Individual |
| Full Name | MARC TACK |
| Credential | DO |
| Practice Address |
360 Washington Ave Kingston NY 12401-3702 |
| Practice Telephone | 8453387140 |
| Practice Fax Number | 8453387141 |
| Mailing Telephone | 8453387140 |
| Mailing Fax Number | 8453387141 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
191978 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
360 WASHINGTON AVE |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577647 | Elizabeth M Costley | Family Medicine | 360 Washington Ave, Kingston, NY 12401-3702 | 2005-06-08 |
| 1538650395 | Nicole Marie Hack | Nurse Practitioner | 360 Washington Ave, Kingston, NY 12401-3702 | 2018-05-28 |
| 1922368786 | Noah Reiss Md PC | Allergy & Immunology | 360 Washington Ave, Kingston, NY 12401 | 2012-05-25 |
| 1669601795 | Medical Associates of The Hudson Valley | Internal Medicine | 360 Washington Ave, Kingston, NY 12401-3702 | 2009-07-10 |
| 1952549321 | John Froude | Internal Medicine | 360 Washington Ave, Kingston, NY 12401-3702 | 2009-01-23 |
| 1508001066 | Beth A Saubermann | Nurse Practitioner | 360 Washington Ave, Kingston, NY 12401 | 2008-12-11 |
| 1083876452 | Aarathi Nagaraja | Internal Medicine | 360 Washington Ave, Kingston, NY 12401 | 2008-06-27 |
| 1750549861 | Andrew Yanofsky | Internal Medicine | 360 Washington Ave, Kingston, NY 12401 | 2008-05-26 |
| 1700966801 | Medical Associates of The Hudson Valley | Internal Medicine | 360 Washington Ave, Kingston, NY 12401-3702 | 2006-10-16 |
| 1700987567 | Paul W Bushkuhl | General Practice | 360 Washington Ave, Kingston, NY 12401-3702 | 2006-09-26 |
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| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1063464519 | Charles Kutler | Internal Medicine | 360 Washington Avr, Kingston, NY 12401-5144 | 2006-05-16 |
| 1598714891 | Mary Louise Susan Decker | Internal Medicine | 250 Pierce St Ste 203, Kingston, PA 18704-5149 | 2006-05-06 |
| 1316291594 | Albany Medical College | Internal Medicine | 142 Aaron Ct, Kingston, NY 12401-2962 | 2012-11-09 |
| 1083876452 | Aarathi Nagaraja | Internal Medicine | 360 Washington Ave, Kingston, NY 12401 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421801 | Andrea Low | Internal Medicine | 215 W 125th St Rm 302, New York, NY 10027-4426 | 2020-09-09 |
| 1114551827 | Steven Neal Miller | Internal Medicine | 29 Blair Dr, Huntington, NY 11743-2465 | 2020-03-03 |
| 1871123703 | Walter Ian Lipkin | Internal Medicine | 722 W 168th St Fl 17, New York, NY 10032-3727 | 2020-01-20 |
| 1033776307 | Debra K Strauss Md | Internal Medicine | 11 Medical Park Dr Ste 206, Pomona, NY 10970-3560 | 2019-05-22 |
| 1124590559 | Berman Infectious Disease Consultant PC | Internal Medicine | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | 2018-12-25 |
| 1558838482 | Infectious Disease Consultant of Rockland, P.C. | Internal Medicine | 259 N Middletown Rd Ste 1b, Nanuet, NY 10954-1220 | 2018-10-29 |
| 1528512894 | Cordial Medical, P.C. | Internal Medicine | 100 Broadhollow Rd Ste 106, Farmingdale, NY 11735-4813 | 2016-08-04 |
| 1033508205 | Ayuda Medical, Pllc | Internal Medicine | 54 Sunrise Dr, Lynbrook, NY 11563-2920 | 2015-01-12 |
| 1659777449 | Joseph Michael Feczko | Internal Medicine | 234 E 49th St, New York, NY 10017-1502 | 2014-11-06 |
| 1669873402 | Joel Ackelsberg | Internal Medicine | 4209 28th St # Cn-22a, Long Island City, NY 11101-4130 | 2014-09-11 |
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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.