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

NPI Status: Active since September 15, 2005

Contact Information

117 MARYS AVE
SUITE 204
KINGSTON, NY
ZIP 12401
Phone: (845) 338-0789
Fax: (845) 334-9150

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  • Organization
  • Plastic Surgery
  • CLIA Number: 33D0999702
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-23-2028

About MID HUDSON PLASTIC SURGERY PC

This page provides the complete NPI Profile along with additional information for Mid Hudson Plastic Surgery Pc, a provider established in Kingston, New York operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1144215161 assigned on September 2005. The practitioner's primary taxonomy code is 208200000X with license number 2017201 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thomas Hagerty Md (Group Owner)

NPI
1144215161
Provider Name
MID HUDSON PLASTIC SURGERY PC
Entity Type
Organization
Location Address
117 MARYS AVE SUITE 204 KINGSTON, NY 12401
Location Phone
(845) 338-0789
Location Fax
(845) 334-9150
Mailing Address
117 MARYS AVE SUITE 204 KINGSTON, NY 12401
Mailing Phone
(845) 338-0789
Mailing Fax
(845) 334-9150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2005
Last Update Date
09-21-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
2017201
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THOMAS HAGERTY MD

Authorized Official Title
GROUP OWNER
Authorized Official Phone
(845) 338-0799

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0999702
Facility Type
Physician Office
Certificate Effective Date
February 24, 2026
Certificate Expiration Date
February 23, 2028
Laboratory Director
THOMAS A. HAGERTY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Hudson Plastic Surgery Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144215161, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 4 + 1 + 1 + 0 + 1 + 1 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1144215161.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Plastic Surgery
117 MARYS AVE, SUITE 204
KINGSTON, NY 12401
Surgery
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Internal Medicine (Hematology & Oncology)
117 MARYS AVE, SUITE 102
KINGSTON, NY 12401
Physician Assistant
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Nurse Practitioner
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Surgery
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
117 MARYS AVE, SUITE 203
KINGSTON, NY 12401
Family Medicine
117 MARYS AVE, SUITE 101
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 202
KINGSTON, NY 12401
Nurse Practitioner
117 MARYS AVE, STE 201
KINGSTON, NY 12401
Internal Medicine (Gastroenterology)
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Internal Medicine (Gastroenterology)
117 MARYS AVE, SUITE 203
KINGSTON, NY 12401
Dentist (Oral and Maxillofacial Surgery)
117 MARYS AVE, 104
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 202
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Nurse Practitioner (Family)
117 MARYS AVE
KINGSTON, NY 12401
Internal Medicine
117 MARYS AVE, SUITE 101
KINGSTON, NY 12401
Surgery (Trauma Surgery)
117 MARYS AVE
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144215161, enumerated as an "organization" on September 15, 2005.

The provider is located at 117 MARYS AVE SUITE 204 KINGSTON, NY 12401 and the phone number is (845) 338-0789.

Plastic Surgery with taxonomy code 208200000X.