Active NPI
Premier Medical Group of the Hudson Valley P.C.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Poughkeepsie, NY
National Provider Identifier
1154856896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Legal business name
- PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.
- Practice address
- 50 Eastdale Ave N
Poughkeepsie, NY 12603 - Phone
- (845) 437-5000
- NPI assigned
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunil Khurana, MD
- Title
- Ceo
- Phone
- (845) 471-9410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | Primary |
Addresses
Primary practice location
50 Eastdale Ave N
Poughkeepsie, NY 12603
Mailing address
243 North Rd
Suite 304
Poughkeepsie, NY 12601-1172
Phone (845) 451-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411960004 | Other | MEDICARE/DMEPOS |
Other names 1
- Premier Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580256000000",
"number": "1154856896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH RD",
"address_2": "SUITE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011172",
"telephone_number": "845-451-7251",
"fax_number": "845-471-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 EASTDALE AVE N",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-437-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-01",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A",
"authorized_official_last_name": "KHURANA",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-471-9410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE/DMEPOS",
"identifier": "7411960004",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Premier Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poughkeepsie, NY
- Dawn K Prati, CPNP-PC
- Jilda M Prazenica
- Precious Keepers
- Preferred Therapy Solutions LLC
- Premier Affiliates LLC
- Premier Medical Group of the Hudson Valley P.C.
- Premier Medical Group of the Hudson Valley, P.C
- Premier Medical Group of the Hudson Valley, P.C.
- Dana Renee Premuto
- Prevention Healthcare Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.