Active NPI 1326247453 Individual Practitioner Male Practitioner

Dr. Seth Christian Judd , MD

Surgery • Middletown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Judd, MD is a certified Surgery practicing in Middletown, NY. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Judd delivers high-quality medical care to the local community at 95 CRYSTAL RUN RD.

Dr. Judd is affiliated with Crystal Run Healthcare Physicians Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

95 Crystal Run Rd

Middletown, NY 109417001

Telephone 8457036999

Fax 8457036297

Associated Practice Facility / Clinic

🏢 Crystal Run Ambulatory Surgery Center Of Middletown, Llc Facility NPI 1922230853

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +1.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Middletown, NY (2269 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Judd (21 Years) 21 Yrs

Middletown Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	36	$325.00	$135.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$290.00	$119.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$425.00	$172.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	19	$200.00	$82.94
36415 Insertion of needle into vein for collection of blood sample	28	24	$18.36	$8.38
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$235.00	$97.60
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$285.00	$87.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	20	19	$50.00	$17.37
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$60.00	$12.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$385.00	$137.43
82607 Cyanocobalamin (vitamin B-12) level	13	13	$42.00	$14.78
82746 Folic acid level	13	13	$43.00	$14.41
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$31.00	$8.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	12	12	$19.00	$6.34
84460 Liver enzyme (sgpt), level	12	12	$17.00	$5.19
84450 Liver enzyme (sgot), level	12	12	$18.00	$5.08
84075 Phosphatase (enzyme) level, alkaline	12	12	$17.00	$5.08
82247 Bilirubin level	12	12	$16.00	$4.92
82040 Albumin (protein) level	12	12	$14.00	$4.85
80053 Blood test, comprehensive group of blood chemicals	11	11	$36.00	$9.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$31.00	$7.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	32	$200.00	$85.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$290.00	$122.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$425.00	$179.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	34	$320.12	$138.82
99221 Initial hospital inpatient care per day, typically 30 minutes	40	37	$285.00	$90.24
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$235.00	$95.39
36415 Insertion of needle into vein for collection of blood sample	33	29	$18.00	$8.40
82607 Cyanocobalamin (vitamin B-12) level	21	20	$42.00	$14.78
82746 Folic acid level	21	20	$43.00	$14.41
80048 Blood test, basic group of blood chemicals (calcium, total)	21	20	$31.00	$8.29
82040 Albumin (protein) level	21	20	$14.00	$4.85
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	20	17	$80.00	$24.50
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	20	17	$250.00	$73.50
84460 Liver enzyme (sgpt), level	20	19	$17.00	$5.19
84450 Liver enzyme (sgot), level	20	19	$18.00	$5.08
84075 Phosphatase (enzyme) level, alkaline	20	19	$17.00	$5.08
82306 Vitamin d-3 level	20	19	$85.00	$29.01
82247 Bilirubin level	20	19	$16.00	$4.92
80061 Blood test, lipids (cholesterol and triglycerides)	19	18	$60.00	$13.12
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	18	$19.00	$6.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$31.00	$7.61
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$4142.00	$1075.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$423.31	$178.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	47	$320.00	$133.70
36415 Insertion of needle into vein for collection of blood sample	53	50	$18.00	$2.93
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	44	37	$63.18	$24.70
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	44	37	$250.00	$74.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$289.02	$122.35
80048 Blood test, basic group of blood chemicals (calcium, total)	38	36	$31.00	$8.22
82607 Cyanocobalamin (vitamin B-12) level	35	33	$42.00	$14.60
82247 Bilirubin level	35	33	$16.00	$4.96
84460 Liver enzyme (sgpt), level	35	33	$17.00	$5.24
84450 Liver enzyme (sgot), level	35	33	$18.00	$5.12
82746 Folic acid level	35	33	$43.00	$14.24
84075 Phosphatase (enzyme) level, alkaline	34	33	$17.00	$5.12
80061 Blood test, lipids (cholesterol and triglycerides)	33	31	$60.00	$12.96
82306 Vitamin d-3 level	33	31	$85.00	$28.16
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	32	30	$19.00	$6.26
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$231.13	$100.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	17	$200.00	$77.31
82040 Albumin (protein) level	26	25	$14.00	$4.87
99221 Initial hospital inpatient care per day, typically 30 minutes	25	23	$285.00	$110.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	17	$31.00	$7.68
82728 Ferritin (blood protein) level	14	13	$40.00	$13.46
80053 Blood test, comprehensive group of blood chemicals	13	13	$36.00	$10.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$385.00	$147.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$314.20	$141.21
36415 Insertion of needle into vein for collection of blood sample	59	52	$18.00	$2.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$414.17	$187.53
82247 Bilirubin level	49	47	$16.00	$4.97
84075 Phosphatase (enzyme) level, alkaline	49	47	$17.00	$5.13
84450 Liver enzyme (sgot), level	49	47	$18.00	$5.13
84460 Liver enzyme (sgpt), level	49	47	$17.00	$5.24
82746 Folic acid level	49	48	$43.00	$14.55
80048 Blood test, basic group of blood chemicals (calcium, total)	48	46	$31.00	$8.35
82607 Cyanocobalamin (vitamin B-12) level	48	47	$42.00	$14.92
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	47	46	$19.00	$6.39
82306 Vitamin d-3 level	47	46	$85.00	$28.91
80061 Blood test, lipids (cholesterol and triglycerides)	45	43	$60.00	$13.24
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$216.79	$101.67
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	35	32	$250.00	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	34	31	$60.00	$25.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$280.00	$125.83
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$286.35	$108.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	18	$200.00	$73.52
82728 Ferritin (blood protein) level	25	25	$40.00	$13.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$385.00	$149.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	32	$171.43	$78.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	54	$259.85	$119.12
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$180.45	$79.41
36415 Insertion of needle into vein for collection of blood sample	60	54	$18.00	$2.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$390.74	$168.12
82746 Folic acid level	45	45	$43.00	$14.59
82607 Cyanocobalamin (vitamin B-12) level	43	43	$42.00	$14.97
99221 Initial hospital inpatient care per day, typically 30 minutes	41	40	$244.39	$112.25
80048 Blood test, basic group of blood chemicals (calcium, total)	41	41	$31.00	$8.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	40	40	$19.00	$6.36
84450 Liver enzyme (sgot), level	40	40	$18.00	$5.14
84460 Liver enzyme (sgpt), level	39	39	$17.00	$5.26
82247 Bilirubin level	39	39	$16.00	$4.98
84075 Phosphatase (enzyme) level, alkaline	39	39	$17.00	$5.14
80061 Blood test, lipids (cholesterol and triglycerides)	38	38	$60.00	$13.29
82306 Vitamin d-3 level	36	36	$85.00	$29.37
82728 Ferritin (blood protein) level	30	30	$40.00	$13.54
83550 Iron binding capacity	25	25	$25.00	$8.67
83540 Iron level	25	25	$18.00	$6.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$273.68	$118.35
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$3760.64	$975.16
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	11	$31.00	$7.71
47562 Removal of gallbladder using an endoscope	13	13	$2201.54	$758.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$320.00	$150.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	108	91	$18.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	46	$164.54	$77.05
84075 Phosphatase (enzyme) level, alkaline	82	82	$17.00	$5.63
84460 Liver enzyme (sgpt), level	82	82	$17.00	$5.77
82247 Bilirubin level	82	82	$16.00	$5.46
82746 Folic acid level	81	81	$43.00	$16.01
84450 Liver enzyme (sgot), level	81	81	$18.00	$5.63
82607 Cyanocobalamin (vitamin B-12) level	81	81	$42.00	$16.41
80061 Blood test, lipids (cholesterol and triglycerides)	77	77	$60.00	$14.58
80048 Blood test, basic group of blood chemicals (calcium, total)	76	76	$31.00	$9.21
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	76	76	$19.00	$7.04
82306 Vitamin d-3 level	73	73	$85.00	$32.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	54	$246.09	$113.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$373.57	$172.67
82728 Ferritin (blood protein) level	62	62	$40.00	$14.56
83550 Iron binding capacity	60	60	$25.00	$9.52
83540 Iron level	60	60	$18.00	$7.05
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$169.48	$76.76
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$230.27	$107.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$251.13	$112.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	26	$31.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	25	22	$36.00	$11.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$306.58	$145.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$330.00	$149.65
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	13	$4050.00	$1030.64
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$800.00	$68.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	135	117	$18.00	$2.94
82746 Folic acid level	112	109	$43.00	$17.58
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	108	104	$19.00	$7.82
80061 Blood test, lipids (cholesterol and triglycerides)	107	104	$60.00	$16.20
82607 Cyanocobalamin (vitamin B-12) level	107	104	$42.00	$18.24
84460 Liver enzyme (sgpt), level	104	101	$17.00	$6.41
84450 Liver enzyme (sgot), level	104	101	$18.00	$6.26
84075 Phosphatase (enzyme) level, alkaline	104	101	$17.00	$6.26
82247 Bilirubin level	104	101	$16.00	$6.07
80048 Blood test, basic group of blood chemicals (calcium, total)	103	100	$31.00	$10.23
99213 Established patient office or other outpatient visit, typically 15 minutes	99	86	$156.01	$74.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	45	$150.00	$74.09
83540 Iron level	82	79	$18.00	$7.83
83550 Iron binding capacity	82	79	$25.00	$10.57
82728 Ferritin (blood protein) level	80	77	$40.00	$16.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$356.46	$165.95
82306 Vitamin d-3 level	67	67	$85.00	$35.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$225.88	$111.41
99221 Initial hospital inpatient care per day, typically 30 minutes	45	43	$202.00	$106.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$233.17	$111.75
84443 Blood test, thyroid stimulating hormone (TSH)	26	26	$50.00	$20.33
80053 Blood test, comprehensive group of blood chemicals	21	21	$36.00	$12.78
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$800.00	$71.05
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$31.00	$9.40
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	20	20	$4050.00	$1038.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$300.00	$143.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$279.67	$137.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	157	116	$18.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	149	109	$155.47	$74.77
82746 Folic acid level	135	110	$43.00	$19.56
82247 Bilirubin level	133	107	$16.00	$2.32
84075 Phosphatase (enzyme) level, alkaline	133	107	$17.00	$2.46
82607 Cyanocobalamin (vitamin B-12) level	133	107	$42.00	$20.13
84450 Liver enzyme (sgot), level	132	107	$18.00	$2.61
84460 Liver enzyme (sgpt), level	132	107	$17.00	$2.47
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	131	106	$19.00	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	130	106	$31.00	$4.61
80061 Blood test, lipids (cholesterol and triglycerides)	123	106	$60.00	$9.14
83540 Iron level	101	84	$18.00	$8.70
83550 Iron binding capacity	101	84	$25.00	$11.75
82728 Ferritin (blood protein) level	97	84	$40.00	$18.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	50	$92.26	$45.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	32	$150.00	$75.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$170.50
99221 Initial hospital inpatient care per day, typically 30 minutes	42	39	$199.88	$106.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$230.85	$108.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$227.16	$114.88
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	25	25	$3950.50	$1030.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	25	$31.00	$10.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$800.00	$67.83
80053 Blood test, comprehensive group of blood chemicals	19	19	$36.00	$12.11
84443 Blood test, thyroid stimulating hormone (TSH)	15	15	$50.00	$22.59

Medical Specialties & State Licenses

CMS Verified: 2020-10-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 261262

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03347959 (NY)

Hospital & Practice Group Affiliations

Crystal Run Healthcare Physicians Llp

300 Crystal Run Rd, Middletown, NY 109414069

Phone: 8456926999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Physical Therapist

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Physical Therapist

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Internal Medicine - Nephrology

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Doctor of Medicine (M.D.)

Alexandriah Sabarese , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1003460338

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Nancy Linneman , MD

Internal Medicine - Pulmonary Disease

NPI 1003816604

Doctor of Medicine (M.D.)

Chiquita Houston-Armstrong , NP

Nurse Practitioner - Family

NPI 1003826132

Nurse Practitioner

Dr. Peggy Nelson , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013000629

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2011

Registered at 95 CRYSTAL RUN RD, MIDDLETOWN, NY 109417001 (Tel: 8457036999)

📍

Updated Business Mailing Address August 05, 2011

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated August 05, 2011

Recorded as SETH JUDD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2011

Surgery (License #261262 in NY)

🟢

Initial NPI Registration & Enumeration July 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326247453

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2007

Last Update: October 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

155 Crystal Run Rd

Middletown, NY 109414028

Phone: 8457036999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.