Organization Active NPI

Hudson Valley Medical Group, P.C.

  • Pediatrics Physician
  • Hyde Park, NY
National Provider Identifier
1114093358
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1662161 Issued in NY
Legal business name
HUDSON VALLEY MEDICAL GROUP, P.C.
Practice address
4236 Albany Post Rd
Hyde Park, NY 12538-1747
Phone
(845) 229-2600
Fax
(845) 229-1031
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Patricia Irene Shannon
Title
Office Manager
Phone
(845) 229-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 1544321 NY
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 1662161 NY Primary

Addresses

Primary practice location

4236 Albany Post Rd
Hyde Park, NY 12538-1747

Mailing address

4236 Albany Post Rd
Hyde Park, NY 12538-1747
Phone (845) 229-2600

National Provider Directory

National Provider Directory

Locations

4236 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 229-2196

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114093358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381747",
            "telephone_number": "845-229-2600",
            "fax_number": "845-229-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381747",
            "telephone_number": "845-229-2600",
            "fax_number": "845-229-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-229-2600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1544321",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1662161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.