Premier Medical Group of the Hudson Valley P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.

Practice address

50 Eastdale Ave N
Poughkeepsie, NY 12603-1694

Phone

(845) 437-5000

NPI assigned

Sep 16, 2006

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Murphy

Title

Director of Finance

Phone

(845) 471-9410

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Premier Medical Group of the Hudson Valley, P.C

  • Podiatrist
  • Poughkeepsie, NY
  • NPI 1760939581

  3072575109

  Same PAC ID
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Fishkill, NY
  • NPI 1255888079

  3072575109

  Same PAC ID
• Premier Medical Group of the Hudson Valley, P.C.

  • Podiatrist
  • Wappingers Falls, NY
  • NPI 1467290130

  3072575109

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 199

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.

• Najwa Alhejazien

  • Family Nurse Practitioner
  • Hopewell JCT, NY
  • NPI 1740043355
  Medicare reassignment Care Compare group NPD
• Maurice Alisse, PA-C

  • Physician Assistant
  • Newburgh, NY
  • NPI 1730130386
  Medicare reassignment Care Compare group NPD
• Todd A Anderson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1346487345
  Medicare reassignment Care Compare group NPD
• Khurram Iqbal Ashraf, DO

  • Gastroenterology Physician
  • Poughkeepsie, NY
  • NPI 1811991508
  Medicare reassignment Care Compare group NPD
• Shanna Barran, PA

  • Physician Assistant
  • Cooperstown, NY
  • NPI 1609380831
  Medicare reassignment Care Compare group NPD
• Manisha Bhutani, MD

  • Internal Medicine Physician
  • Fishkill, NY
  • NPI 1679662464
  Medicare reassignment Care Compare group NPD
• Alan Birney, M.D.

  • Vascular & Interventional Radiology Physician
  • Poughkeepsie, NY
  • NPI 1194085704

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• David Michael Boss, PA

  • Physician Assistant
  • Poughkeepsie, NY
  • NPI 1376607507
  Medicare reassignment Care Compare group NPD
• Lori Brown-Halbert, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
  • NPI 1669466389
  Medicare reassignment Care Compare group NPD
• Madjeanna Brutus, PA-C

  • Medical Physician Assistant
  • Monticello, NY
  • NPI 1356129191
  Medicare reassignment Care Compare group NPD
• Salvatore Martin Buffa, MD

  • Gastroenterology Physician
  • Poughkeepsie, NY
  • NPI 1346244027
  Medicare reassignment Care Compare group NPD
• Meredith Patricia Calderon, FNP

  • Family Nurse Practitioner
  • Hopewell Junction, NY
  • NPI 1336892280
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1255437166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WASHINGTON ST STE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012305",
            "telephone_number": "845-471-9410",
            "fax_number": "845-471-7943"
        },
        {
            "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": "126031694",
            "telephone_number": "845-437-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Webster Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011362",
            "country_code": "US",
            "telephone_number": "845-454-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Springside Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126031837",
            "country_code": "US",
            "telephone_number": "845-454-0244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "696 Dutchess Tpke",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126036444",
            "country_code": "US",
            "telephone_number": "845-454-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126032422",
            "country_code": "US",
            "telephone_number": "845-454-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125241789",
            "country_code": "US",
            "telephone_number": "845-897-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Westage Business Ctr Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125242266",
            "country_code": "US",
            "telephone_number": "845-838-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 Spring Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125723709",
            "country_code": "US",
            "telephone_number": "845-437-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Webster Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011362",
            "country_code": "US",
            "telephone_number": "845-454-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Webster Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011362",
            "country_code": "US",
            "telephone_number": "845-454-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Webster Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011364",
            "country_code": "US",
            "telephone_number": "845-790-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Little Britain Rd",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125537354",
            "country_code": "US",
            "telephone_number": "845-437-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011172",
            "country_code": "US",
            "telephone_number": "845-454-0630",
            "fax_number": "845-464-0637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Marys Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124015852",
            "country_code": "US",
            "telephone_number": "845-437-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "845-471-9410"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilda M Prazenica
• Precious Keepers
• Preferred Therapy Solutions LLC
• Premier Affiliates LLC
• Premier Medical Group of the Hudson Valley P.C. (Premier Medical Group)
• 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
• Lorraine Prezkuta-Diaz, LCSW

• Urology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.