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TABASCO HEALTH CARE
NPI 1073701579
Family Medicine - Addiction Medicine in Kerhonkson, NY

Active since October 09, 2007
5 GOLDEN LN, KERHONKSON, NY 12446(845) 626-3424(845) 626-4627 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tabasco Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABASCO HEALTH CARE (NPI 1073701579) is a healthcare organization registered as an addiction medicine in Kerhonkson, New York and active in the NPI registry since October 2007. The organization lists Lucinda Grovenburg, President, as its authorized official.

NPPES Registry Identity

NPI1073701579
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameTABASCO FAMILY PRACTICE PLLC
Location Address5 GOLDEN LNKerhonkson, NY 12446-1609
Mailing Address5 Golden LnKerhonkson, NY 12446-1609 · (845) 626-3424 · Fax (845) 626-4627
Phone(845) 626-3424
Fax(845) 626-4627
Organization SubpartNo
Authorized OfficialLucinda GrovenburgPresident · (845) 626-3424
Enumeration DateOctober 9, 2007
✔ NPI 1073701579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NY · 188450
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
5 GOLDEN LN, Kerhonkson, NY 12446
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Other Names 1

Doing Business AsTabasco Health Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2045260

Tabasco Family Practice · Kerhonkson, NY
Expired · Aug 8, 2026
CLIA Number33D2045260
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. Lucinda B. Grovenburg
Laboratory Phone(845) 626-3424
Laboratory LocationTabasco Family Practice5 Golden Lane, Kerhonkson, NY 12446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCINDA GROVENBURG MD
Family Medicine (Addiction Medicine)
5 GOLDEN LN
KERHONKSON, NY 12446
Ulster County (845) 626-3424
DR. JAMES GROVENBURG MD
Family Medicine (Addiction Medicine)
5 GOLDEN LN
KERHONKSON, NY 12446
Ulster County (845) 626-3424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabasco Family Practice PLLC's NPI number?

The NPI number for Tabasco Family Practice PLLC is 1073701579. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Tabasco Health Care.

Where is Tabasco Family Practice PLLC located?

Tabasco Family Practice PLLC is located at 5 Golden Ln, Kerhonkson, NY 12446. The listed phone number is (845) 626-3424.

What is Tabasco Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Tabasco Family Practice PLLC was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.