Hudson Vista Medical,pc - Medicare Primary Care in Cornwall, NY

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Hudson Vista Medical,pc is a medicare enrolled primary clinic (Internal Medicine) in Cornwall, New York. The current practice location for Hudson Vista Medical,pc is 19 Laurel Ave # Ll1, Cornwall, New York. For appointments, you can reach them via phone at (845) 534-7080. The mailing address for Hudson Vista Medical,pc is 70 Dubois Street, 5th Floor Administration, Newburgh, New York and phone number is (845) 458-4855.

Hudson Vista Medical,pc is licensed to practice in New York (license number ). The clinic also participates in the medicare program and its NPI number is 1659666840. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 534-7080.

Contact Information

Hudson Vista Medical,pc
19 Laurel Ave # Ll1
Cornwall
NY 12518-1403
(845) 534-7080
(845) 458-4435

Map and Direction


Primary Care Clinic Profile

Full NameHudson Vista Medical,pc
SpecialityInternal Medicine
Location19 Laurel Ave # Ll1, Cornwall, New York
Authorized Official Name and PositionThomas Gibney (SECRETARY)
Authorized Official Contact8455682881
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hudson Vista Medical,pc
70 Dubois Street
5th Floor Administration
Newburgh
NY 12550

Ph: (845) 458-4855		Hudson Vista Medical,pc
19 Laurel Ave # Ll1
Cornwall
NY 12518-1403

Ph: (845) 534-7080

NPI Details:

NPI Number1659666840
Provider Enumeration Date06/15/2011
Last Update Date01/28/2025

Medicare PECOS Information:

Medicare PECOS PAC ID8628240215
Medicare Enrollment IDO20111003000643

Medical Identifiers

Medical identifiers for Hudson Vista Medical,pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659666840NPI-NPPES
03377979MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (New York)Primary
208600000XSurgery (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hudson Vista Medical,pc acts as a billing entity for following providers:
Provider NameDavid Harrison
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427157478
PECOS PAC ID: 4880675909
Enrollment ID: I20040525001750
Provider NameLisa Sager
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699717710
PECOS PAC ID: 8022078781
Enrollment ID: I20041016000125
Provider NameDiana Linetskaya
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1932256179
PECOS PAC ID: 3072576636
Enrollment ID: I20041105000175
Provider NameOlanrewaju Somorin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679661979
PECOS PAC ID: 1557324852
Enrollment ID: I20041108000914
Provider NameAnjali N Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831101757
PECOS PAC ID: 1557325917
Enrollment ID: I20041116000147
Provider NameAnthony R Darmiento
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578670899
PECOS PAC ID: 0941259097
Enrollment ID: I20050117000116
Provider NameTeresa M Alasio
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1396705422
PECOS PAC ID: 6800818113
Enrollment ID: I20051230000246
Provider NameAshok N Vaswani
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1205848025
PECOS PAC ID: 8022015650
Enrollment ID: I20061024000566
Provider NameAlice J Looney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942288261
PECOS PAC ID: 2961409313
Enrollment ID: I20061027000501
Provider NameDavid E Rubin
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1790729960
PECOS PAC ID: 7618937186
Enrollment ID: I20070628000046
Provider NameHemlata Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386817948
PECOS PAC ID: 9133206949
Enrollment ID: I20080403000326
Provider NamePaul Reichman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225114978
PECOS PAC ID: 8123102209
Enrollment ID: I20080627000005
Provider NameMargarita Kogan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437350923
PECOS PAC ID: 9032286935
Enrollment ID: I20080918000291
Provider NameNicholas G Bambino
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417967514
PECOS PAC ID: 9638206626
Enrollment ID: I20100422001004
Provider NameYu Wang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1194798736
PECOS PAC ID: 1658455001
Enrollment ID: I20101112001133
Provider NameRakesh K Abbi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1669447009
PECOS PAC ID: 1355536566
Enrollment ID: I20101113000259
Provider NameJames V Dilorenzo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497852909
PECOS PAC ID: 1951583103
Enrollment ID: I20110309000031
Provider NameJonathan R Fugo
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1407056534
PECOS PAC ID: 4284806654
Enrollment ID: I20111006000439
Provider NameBenjamin Chukwuocha
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083739817
PECOS PAC ID: 8224292701
Enrollment ID: I20120613000366
Provider NameManita Sawhney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255564969
PECOS PAC ID: 9234385311
Enrollment ID: I20120806000122
Provider NameUticia Belfield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235369042
PECOS PAC ID: 0042466575
Enrollment ID: I20120815000629
Provider NameJoshua N Vernatter
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1215176540
PECOS PAC ID: 6901057116
Enrollment ID: I20121116000530
Provider NameTravis S Kipping
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144533571
PECOS PAC ID: 9739333402
Enrollment ID: I20130205000013
Provider NameLisa Thayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023050879
PECOS PAC ID: 7719128503
Enrollment ID: I20130719000540
Provider NameStephanie G Abraitis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1710312152
PECOS PAC ID: 6103143318
Enrollment ID: I20150327001653
Provider NameDavid Michael Campanaro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033351978
PECOS PAC ID: 3971821000
Enrollment ID: I20150421001240
Provider NameLauren A Licata
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023337763
PECOS PAC ID: 8527284546
Enrollment ID: I20150930002364
Provider NameDanielle C Belser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497066187
PECOS PAC ID: 9436371457
Enrollment ID: I20160623001629
Provider NameKirti Joseph
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952661274
PECOS PAC ID: 1052699501
Enrollment ID: I20161103001265
Provider NameBenjamin A Margolis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1770876922
PECOS PAC ID: 5597087841
Enrollment ID: I20170721000309
Provider NameVadim Meytes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811255003
PECOS PAC ID: 5799058301
Enrollment ID: I20170901002217
Provider NameKarissa A Setera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801221098
PECOS PAC ID: 8123380656
Enrollment ID: I20180322000090
Provider NameAyodeji O Nubi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1962709865
PECOS PAC ID: 8820254477
Enrollment ID: I20180518000706
Provider NameGerman Restrepo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023332848
PECOS PAC ID: 7810252103
Enrollment ID: I20180817002369
Provider NameSyed A Qamer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043536436
PECOS PAC ID: 2668772831
Enrollment ID: I20190507002301
Provider NameKatherine Pinheiro
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1982922464
PECOS PAC ID: 8820328958
Enrollment ID: I20191002002347
Provider NameNicole Corazon Agcanas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871943373
PECOS PAC ID: 9032459771
Enrollment ID: I20191203000283
Provider NameStephanie Pulikkottil Joseph
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1548558133
PECOS PAC ID: 2668788308
Enrollment ID: I20210202001273
Provider NameAmalthea U.r.p. Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295327864
PECOS PAC ID: 6709293863
Enrollment ID: I20210408000156
Provider NameJenny A Dzurica
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801344031
PECOS PAC ID: 1153730932
Enrollment ID: I20210506002852
Provider NameKazell A Penalosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215695077
PECOS PAC ID: 4981097730
Enrollment ID: I20220131002069
Provider NameKaitlin Yocum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871254813
PECOS PAC ID: 1254724446
Enrollment ID: I20220211000104
Provider NameErin A Skrobanski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457073637
PECOS PAC ID: 1557732062
Enrollment ID: I20230120000290
Provider NamePatricia D Tuber
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184960387
PECOS PAC ID: 1658718895
Enrollment ID: I20240322002545
Provider NameDavid Blumberg
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1295890440
PECOS PAC ID: 5698707610
Enrollment ID: I20250127000854
Provider NameRinda Mousa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043664675
PECOS PAC ID: 0345598611
Enrollment ID: I20250418000023

Reviews and Comments


Internal Medicine in Cornwall, NY

St Luke's Cornwall Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 21 Laurel Ave Ste 240, Faculty Group Practice St Luke's Cornwall Hospital, Cornwall, NY 12518
Phone: 845-458-4876    Fax: 845-458-4560
G. S. Mehar Physician, P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 14 Elm St, Cornwall, NY 12518
Phone: 845-534-7700    Fax: 845-534-3674
Prestige Physicians Services, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 164 Willow Ave, Cornwall, NY 12518
Phone: 845-565-1771    Fax: 845-565-4941

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.