1. Home
  2. Directory
  3. New York
  4. Kingston
  5. Plastic Surgery
  6. NPI Profile

MID HUDSON PLASTIC SURGERY PC
NPI 1144215161
Plastic Surgery in Kingston, NY

Active since September 15, 2005CLIA 33D0999702 · Waiver
117 MARYS AVE, SUITE 204, KINGSTON, NY 12401(845) 338-0789(845) 334-9150 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2016, May 18, 2016 (2 updates tracked since 2016).

About Mid Hudson Plastic Surgery Pc NPPES

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

MID HUDSON PLASTIC SURGERY PC (NPI 1144215161) is a healthcare organization registered as a plastic surgery in Kingston, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Thomas Hagerty, Group Owner, as its authorized official.

NPPES Registry Identity

NPI1144215161
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMID HUDSON PLASTIC SURGERY PC
Location Address117 MARYS AVE, SUITE 204Kingston, NY 12401-5849
Mailing Address117 Marys Ave, Suite 204Kingston, NY 12401-5849 · (845) 338-0789 · Fax (845) 334-9150
Phone(845) 338-0789
Fax(845) 334-9150
Organization SubpartNo
Authorized OfficialThomas HagertyGroup Owner · (845) 338-0799
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
✔ NPI 1144215161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 2017201
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
117 MARYS AVE, Kingston, NY 12401
Open in Google Maps ↗

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 33D0999702

Mid Hudson Plastic Surgery Center · Kingston, NY
Active · expires Feb 23, 2028
CLIA Number33D0999702
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorThomas A. Hagerty
Laboratory Phone(845) 338-0789
Laboratory LocationMid Hudson Plastic Surgery Center117 Mary's Avenue Suite 204, Kingston, NY 12401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

AYSE PERE N.P.
Nurse Practitioner
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Ulster County (845) 331-8146
DR. JEFFREY E. HATTER M.D.
Surgery
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Ulster County (845) 331-5826
DR. MELISSA D SHAH M.D.
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 202
KINGSTON, NY 12401
Ulster County (845) 338-1992
DR. JAMES M. FEENEY MD, FACS
Surgery (Trauma Surgery)
117 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 383-1759
MID-HUDSON ORAL AND MAXILLOFACIAL PC
Dentist (Oral and Maxillofacial Surgery)
117 MARYS AVE, 104
KINGSTON, NY 12401
Ulster County (845) 340-1962
THE VASCULAR GROUP PLLC
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Ulster County (845) 338-1992
MARISA G. FLANAGAN FNP-BC
Nurse Practitioner
117 MARYS AVE, STE 201
KINGSTON, NY 12401
Ulster County (845) 331-8146
MR. RICHARD JOSEPH BURZINE PA-C
Physician Assistant
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Ulster County (845) 338-1992

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 Mid Hudson Plastic Surgery PC's NPI number?

The NPI number for Mid Hudson Plastic Surgery PC is 1144215161. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Mid Hudson Plastic Surgery PC located?

Mid Hudson Plastic Surgery PC is located at 117 Marys Ave Suite 204, Kingston, NY 12401. The listed phone number is (845) 338-0789.

What is Mid Hudson Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Mid Hudson Plastic Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0999702) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid Hudson Plastic Surgery PC was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.