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HAVERSTRAW FAMILY PRACTICE, P.C.
NPI 1720177694
Family Medicine in Haverstraw, NY

Active since October 11, 2006
61 NEW MAIN ST, HAVERSTRAW, NY 10927(845) 942-4512(845) 942-4514 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haverstraw Family Practice, P.c. NPPES

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

HAVERSTRAW FAMILY PRACTICE, P.C. (NPI 1720177694) is a healthcare organization registered as a family medicine in Haverstraw, New York and active in the NPI registry since October 2006. The organization lists Jorge Ernesto Lugo, President, as its authorized official.

NPPES Registry Identity

NPI1720177694
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAVERSTRAW FAMILY PRACTICE, P.C.
Location Address61 NEW MAIN STHaverstraw, NY 10927-1813
Mailing AddressPo Box 380, 61 New Main StreetHaverstraw, NY 10927-0380 · (845) 942-4512 · Fax (845) 942-4514
Phone(845) 942-4512
Fax(845) 942-4514
Organization SubpartNo
Authorized OfficialJorge Ernesto LugoPresident · (845) 942-4512
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1720177694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 208332
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.
61 NEW MAIN ST, Haverstraw, NY 10927
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Other Identifiers 15

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Medicare PINW5W341NY
Medicare UPING94346NY
Medicaid01814819NY
Other040426012056NY · Fidelis
Other5997592NY · Ghi
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Other221824NY · Wellcare
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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

Other Providers at the Same Location NPPES

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

JORGE ERNESTO LUGO M.D.
Family Medicine
61 NEW MAIN ST, 61 NEW MAIN STREET
HAVERSTRAW, NY 10927
Rockland County (845) 942-4512

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 Haverstraw Family Practice, P.C.'s NPI number?

The NPI number for Haverstraw Family Practice, P.C. is 1720177694. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Haverstraw Family Practice, P.C. located?

Haverstraw Family Practice, P.C. is located at 61 New Main St, Haverstraw, NY 10927. The listed phone number is (845) 942-4512.

What is Haverstraw Family Practice, P.C.'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 Haverstraw Family Practice, P.C. was last updated on May 7, 2008. 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.