NPIMap

Organization Active NPI

Mid Hudson Physical Medicine & Rehabilitation PC

  • Specialist
  • Newburgh, NY
National Provider Identifier
1104049725
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19889963 Issued in NY
Legal business name
MID HUDSON PHYSICAL MEDICINE & REHABILITATION PC
Practice address
21 N Plank Rd
Newburgh, NY 12550-2128
Phone
(845) 565-5943
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Sunitha Polepalle, MD
Title
Owner
Phone
(845) 565-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19889963 NY Primary

Addresses

Primary practice location

21 N Plank Rd
Newburgh, NY 12550-2128

Mailing address

21 N Plank Rd
Newburgh, NY 12550-2128
Phone (845) 565-5943

Other names 1

  • Mid Hudson Pain Managerment & P.T. PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1104049725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502128",
            "telephone_number": "845-565-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502128",
            "telephone_number": "845-565-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID HUDSON PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "POLEPALLE",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-565-5943",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "19889963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Hudson Pain Managerment & P.T. PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.