Northern Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

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

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Maddipoti Choudry, MD

Title

President

Phone

(845) 592-4915

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1487196622",
    "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": "129 Clove Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell Jct",
            "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"
        },
        {
            "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": "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": "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": "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": "400 Westage Business Ctr Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125242267",
            "country_code": "US",
            "telephone_number": "845-471-3500",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MADDIPOTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-592-4915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04755717",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Lisa Notaro-Pane, R.D.

• Family Medicine Physician in Brewster, NY
• Providers in Brewster, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.