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

Fax

(845) 279-5168

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Madipotti Choudry, MD

Title

President

Phone

(845) 592-4915

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1649712787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BARNEGAT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015454",
            "telephone_number": "845-592-4915",
            "fax_number": "845-592-4914"
        },
        {
            "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": "845-279-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MADIPOTTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-592-4915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Michael John Nuccitelli, PSY.D.

• 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 Nov 7, 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.