Pine Street Medical PC
NPI 1689667438ActiveOrganization· Family Medicine· Kingston, NY
Family Medicine in Kingston, New York, registered in NPPES in August 2005. The authorized official on file is George W. Mark Jobson, M.D., Director.
Overview
| NPI | 1689667438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2005 |
| Last updated in NPPES | Jul 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 166060 | NY |
| Internal Medicine | 207R00000X | 166060 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Kingston
- 1770867780
- 1912309659
- 1932304532
- 1487600326
- 1306184908
- 1659898054
- 1528642485
- 1194098251
- 1477827624
- 1861765935
- 1992486484
- 1811943210