PINE STREET MEDICAL PC
NPI 1689667438
Family Medicine in Kingston, NY

Active since August 26, 2005
140 PINE ST, KINGSTON, NY 12401(845) 338-0050 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Street Medical Pc NPPES

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

PINE STREET MEDICAL PC (NPI 1689667438) is a healthcare organization registered as a family medicine in Kingston, New York and active in the NPI registry since August 2005. The organization lists George W. Mark Jobson, Director, as its authorized official.

NPPES Registry Identity

NPI1689667438
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINE STREET MEDICAL PC
Location Address140 PINE STKingston, NY 12401-4948
Mailing Address140 Pine StKingston, NY 12401-4948 · (845) 338-0050
Organization SubpartNo
Authorized OfficialGeorge W. Mark JobsonDirector · (845) 338-0050
Enumeration DateAugust 26, 2005
Last NPPES UpdateJuly 19, 2007
NPI 1689667438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 166060
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 166060 (NY)
140 PINE ST, Kingston, NY 12401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
140 PINE ST
KINGSTON, NY 12401
Nurse Practitioner (Psychiatric/Mental Health)
140 PINE ST
KINGSTON, NY 12401
Social Worker (Clinical)
140 PINE ST
KINGSTON, NY 12401
Social Worker
140 PINE ST
KINGSTON, NY 12401

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 Pine Street Medical PC's NPI number?

The NPI number for Pine Street Medical PC is 1689667438. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Pine Street Medical PC located?

Pine Street Medical PC is located at 140 Pine St, Kingston, NY 12401. The listed phone number is (845) 338-0050.

What is Pine Street Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Pine Street Medical PC was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.