NPIMap

Organization Active NPI

Northern Heart Specialists PC

Doing business as Northern Medical Specialists

  • General Practice Physician
  • Brewster, NY
National Provider Identifier
1003893876
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NORTHERN HEART SPECIALISTS PC
Doing business as
Northern Medical Specialists
Practice address
111 Clock Tower Commons
Brewster, NY 10509-4055
Phone
(845) 279-5187
Fax
(845) 279-5168
NPI assigned
Dec 22, 2005
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Christine M Bushey
Title
Billing Manager
Phone
(845) 279-5187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

111 Clock Tower Commons
Brewster, NY 10509-4055

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

Other identifiers 1

IdentifierTypeStateIssuer
01286451MedicaidNY

Other names 1

  • Northern Medical Specialists Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0903785Northern Heart Specialists111 Clock Tower Commons RT 22, Brewster, NY 10509Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

111 Clock Tower Cmns
#22
Brewster, NY 10509

822 Main St
Ste 330
Hopewell Junction, NY 12533
Phone (845) 592-0681

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1003893876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER COMMONS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "845-279-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HEART SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "BUSHEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "845-279-5187",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.