1. Home
  2. Directory
  3. New York
  4. Fishkill
  5. Dermatology
  6. NPI Profile

HUDSON DERMATOLOGY, PC
NPI 1508895384
Dermatology in Fishkill, NY

Active since July 02, 2006CLIA Certified · 6 labs
969 MAIN ST, SUITE D, FISHKILL, NY 12524(845) 896-7730(845) 896-7758 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Jun 9, 2025, May 6, 2025 and 1 more (4 updates tracked since 2018).

About Hudson Dermatology, Pc NPPES

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

HUDSON DERMATOLOGY, PC (NPI 1508895384) is a healthcare organization registered as a dermatology in Fishkill, New York and active in the NPI registry since July 2006. The organization holds 6 active CLIA laboratory certificates, maintains 7 additional practice locations, and lists Hendrik Ivo Uyttendaele, President, as its authorized official.

NPPES Registry Identity

NPI1508895384
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHUDSON DERMATOLOGY, PC
Location Address969 MAIN ST, SUITE DFishkill, NY 12524
Mailing Address969 Main St Ste DFishkill, NY 12524-1791 · (845) 896-7730 · Fax (845) 896-7758
Phone(845) 896-7730
Fax(845) 896-7758
Organization SubpartNo
Authorized OfficialHendrik Ivo UyttendaelePresident · (845) 896-7730
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1508895384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 226873
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
969 MAIN ST, Fishkill, NY 12524
Open in Google Maps ↗

Secondary Practice Locations 7

Location 155 Quaker Ave Ste 202Cornwall, NY 12518-2026 · Phone (845) 458-8188 · Fax (845) 458-8122
Location 298 Green St Ste 4Hudson, NY 12534-2353 · Phone (518) 412-3300 · Fax (518) 412-3222
Location 3336 Route 202 Ste 2Somers, NY 10589-3221 · Phone (914) 617-8950 · Fax (914) 617-8960
Location 4155 White Plains Rd Ste 109Tarrytown, NY 10591-5563 · Phone (914) 829-8200 · Fax (914) 829-8201
Location 540 Hurley Ave Ste 3Kingston, NY 12401-3738 · Phone (845) 338-3200 · Fax (845) 338-3233
Location 629 Fox St Fl 4Poughkeepsie, NY 12601-4732 · Phone (845) 473-2350 · Fax (845) 473-4305
Location 7408 Market StNanuet, NY 10954-2744 · Phone (845) 415-5575

Other Identifiers 1

Medicaid04987399NY

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hudson Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20060725000350Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Hudson Dermatology, PC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology18
Micrographic Dermatologic Surgery (MDS)3
Otolaryngology2
Internal Medicine1
Pathology1

Nearest to this location (20)

See all 25
John Carucci, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1265520530
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Ziv Schwartz, MD, MHA
Micrographic Dermatologic Surgery (MDS)
NPI 1295362523
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Victoria Starzyk, DO
Dermatology
NPI 1598394389
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOSSame address
Marisa Belaidi, M.D.
Dermatology
NPI 1497142210
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Carlos Charles, M.D.
Dermatology
NPI 1760683833
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Lasha Jaiani, M.D.
Internal Medicine
NPI 1538289988
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Joshua Kaminetsky, MD
Dermatology
NPI 1114488426
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Michael Romano, M.D.
Dermatology
NPI 1639412109
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Shant Tamazian, MD
Dermatology
NPI 1669059234
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Hendrik Uyttendaele, M.D., PH.D.
Dermatology
NPI 1194781039
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Forrest White, M.D.
Dermatology
NPI 1265870299
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Ross Zeltser, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1194769851
969 MAIN ST STE D
Fishkill, NY 12524
(845) 896-7730
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Kezis, M.D.
Dermatology
NPI 1609874395
29 FOX ST FL 4
Poughkeepsie, NY 12601
(845) 473-2350
✔ PECOS✔ Accepts Medicare11 mi
Benjamin Rosenberg, MD
Dermatology
NPI 1134174311
90 S BEDFORD RD MOUNT KISCO MEDICAL GROUP, PC
Mount Kisco, NY 10549
(914) 241-1050
✔ PECOS✔ Accepts Medicare25 mi
Kristina Campton, MD
Dermatology
NPI 1902832777
155 WHITE PLAINS ROAD, SUITE 109 EAST WING
Tarrytown, NY 10591
(914) 829-8200
✔ PECOS✔ Accepts Medicare32 mi
Alison Stallings, M.D.
Dermatology
NPI 1720091200
150 WHITE PLAINS RD SUITE 210
Tarrytown, NY 10591
(914) 631-4666
✔ PECOS✔ Accepts Medicare32 mi
Diana Hurwitz
Dermatology
NPI 1467438705
4 DEARFIELD DR
Greenwich, CT 06831
(212) 249-8884
✔ PECOS✔ Accepts Medicare37 mi
Xuan Wang, M.D. PH.D.
Pathology
NPI 1578706032
80 CROSSWAYS PARK DR STE 100
Woodbury, NY 11797
(516) 944-3882
✔ PECOS✔ Accepts Medicare54 mi
Grigoriy Mashkevich, M.D.
Otolaryngology
NPI 1346398690
10812 72ND AVE STE 3
Forest Hills, NY 11375
(718) 544-9300
✔ PECOS✔ Accepts Medicare56 mi
Anna Frants
Otolaryngology
NPI 1902354889
2669 E 27TH ST
Brooklyn, NY 11235
(347) 268-3120
✔ PECOS✔ Accepts Medicare65 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 7

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 Compliance 33D0689380

Hudson Dermatology PC · Fishkill, NY
Active · expires Apr 7, 2028
CLIA Number33D0689380
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorDr. Ross Zeltser
Laboratory Phone(845) 896-7730
Laboratory LocationHudson Dermatology PC969 Main St, Suite D, Fishkill, NY 12524
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2330213

Hudson Dermatology, PC · Nanuet, NY
Active · expires Nov 30, 2027
CLIA Number33D2330213
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Ross Zeltser
Laboratory Phone(845) 896-7730
Laboratory LocationHudson Dermatology, PC408 Market St, Nanuet, NY 10954
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2160298

Hudson Dermatology PC · Tarrytown, NY
Active · expires Sep 25, 2027
CLIA Number33D2160298
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorDr. Ross Zeltser
Laboratory Phone(914) 829-8200
Laboratory LocationHudson Dermatology PC155 White Plains Road, Suite 109, Tarrytown, NY 10591
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2049170

Hudson Dermatology PC · Kingston, NY
Active · expires Sep 22, 2027
CLIA Number33D2049170
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDr. Hendrik I. Uyttendaele MD
Laboratory Phone(845) 896-7730
Laboratory LocationHudson Dermatology PC40 Hurley Avenue, Suite 10, Kingston, NY 12401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2128070

Hudson Dermatology PC · Somers, NY
Active · expires Jul 9, 2027
CLIA Number33D2128070
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorDr. Ross Zeltser
Laboratory Phone(914) 617-8950
Laboratory LocationHudson Dermatology PC336 Us Route 202, Suite 2, Somers, NY 10589
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0164109

Hudson Dermatology · Poughkeepsie, NY
Active · expires Nov 7, 2026
CLIA Number33D0164109
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorDr. Hendrik I. Uyttendaele
Laboratory Phone(845) 896-7730
Laboratory LocationHudson Dermatology29 Fox Street, 4th Floor, Poughkeepsie, NY 12601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Hudson Dermatology, PC's NPI number?

The NPI number for Hudson Dermatology, PC is 1508895384. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Hudson Dermatology, PC located?

Hudson Dermatology, PC is located at 969 Main St Suite D, Fishkill, NY 12524. The listed phone number is (845) 896-7730.

What is Hudson Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Hudson Dermatology, PC enrolled in Medicare?

Yes. Hudson Dermatology, PC is registered in the Medicare PECOS enrollment system.

When is Hudson Dermatology, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hudson Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to Hudson Dermatology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (18), Micrographic Dermatologic Surgery (MDS) (3) and Otolaryngology (2). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hudson Dermatology, PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hudson Dermatology, PC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.