Northern Medical Group PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

NORTHERN MEDICAL GROUP PLLC

Practice address

111 Clock Tower CMNS
Brewster, NY 10509-4055

Phone

(845) 279-5187

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Maddipoti Choudry, M.D.

Title

Owner

Phone

(845) 279-5187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1245774637",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MADDIPOTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-279-5187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Norris, PHYSICAL THERAPIST
• 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

• Podiatrist in Brewster, NY
• Providers in Brewster, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.