Active NPI
Northern Medical Group, PLLC
- Internal Medicine Physician
- Brewster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHERN MEDICAL GROUP, PLLC
- Practice address
- 111 Clock Tower CMNS
Brewster, NY 10509-4055 - Phone
- (845) 279-5187
- Fax
- (855) 703-7570
- NPI assigned
- Oct 7, 2015
- Last updated
- Oct 13, 2026
- 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
- Christine M Bushey
- Title
- Billing Manager
- Phone
- (845) 279-5187
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Medical Oncology Physician | 207RX0202X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
111 Clock Tower CMNS
Brewster, NY 10509-4055
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Other practice location 1
667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone (845) 279-5187
Other practice location 2
121 Clock Tower Cmns
Brewster, NY 10509-4055
Phone (845) 279-5800
Other practice location 3
198 Route 22
Pawling, NY 12564-3241
Phone (845) 279-5187
Other practice location 4
888 Route 6
Mahopac, NY 10541-6201
Phone (845) 279-5187
Other practice location 5
129 Clove Branch Rd
Hopewell Junction, NY 12533-5284
Phone (845) 279-5187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04755717 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Westage Business Ctr Dr
Ste 211
Fishkill, NY 12524
Phone (845) 471-3500
129 Clove Branch Rd
Hopewell Junction, NY 12533
Phone (845) 223-3050
159 Barnegat Rd
Side Entrance
Poughkeepsie, NY 12601
Phone (845) 452-9800
159 Barnegat Rd
Ste 201
Poughkeepsie, NY 12601
Phone (845) 471-3500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJAHCA
Practitioners & affiliated clinicians
Practitioners 43
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.
-
- Family Nurse Practitioner
- Carmel, NY
- NPI 1932626520
-
- Internal Medicine Physician
- Brewster, NY
- NPI 1467439893
-
- Gastroenterology Physician
- Poughkeepsie, NY
- NPI 1023002748
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1851398697
-
- Family Medicine Physician
- Hopewell Junction, NY
- NPI 1275586158
-
- Cardiovascular Disease Physician
- Brewster, NY
- NPI 1053398495
-
- Clinical Cardiac Electrophysiology Physician
- Carmel, NY
- NPI 1255506366
Internal Medicine
-
- Family Medicine Physician
- Brewster, NY
- NPI 1154856755
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1629832316
-
- Physician Assistant
- Brewster, NY
- NPI 1396507711
-
- Internal Medicine Physician
- Carmel, NY
- NPI 1295712594
-
- Internal Medicine Physician
- Fishkill, NY
- NPI 1952830986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1174994826",
"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 CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570"
}
],
"practiceLocations": [
{
"address_1": "667 Stoneleigh Ave Ste 117",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105122455",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Clock Tower Cmns",
"address_purpose": "LOCATION",
"city": "Brewster",
"state": "NY",
"postal_code": "105094055",
"country_code": "US",
"telephone_number": "845-279-5800",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "198 Route 22",
"address_purpose": "LOCATION",
"city": "Pawling",
"state": "NY",
"postal_code": "125643241",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Route 6",
"address_purpose": "LOCATION",
"city": "Mahopac",
"state": "NY",
"postal_code": "105416201",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 Clove Branch Rd",
"address_purpose": "LOCATION",
"city": "Hopewell Junction",
"state": "NY",
"postal_code": "125335284",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHERN MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"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"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04755717",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
- Northeast Physical Medicine & Rehabilitation of Brewster PC
- Northeast Radiology PC
- Northern Heart Specialists PC (Northern Medical Specialists)
- Northern Hudson Valley Medical PLLC
- Northern Medical Group PLLC
- Northern Medical Group, PLLC
- Northern Medical Group, PLLC
- Craig Andrew Northrop, LCSW
- Lisa Marie Notaristefano, CCC-SLP
- Luigia Gina Notaristefano, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.