Active NPI
Premier Medical Group of the Hudson Valley, P.C
- Podiatrist
- Poughkeepsie, NY
National Provider Identifier
1760939581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C
- Practice address
- 22 Fairmont Ave
Poughkeepsie, NY 12603-2422 - Phone
- (845) 845-0630
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 9, 2016
- 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
- Penny Napolitano
- Title
- Director of Finance
- Phone
- (845) 471-9410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
22 Fairmont Ave
Poughkeepsie, NY 12603-2422
Mailing address
243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161025001737 | NY | DME Supplier - Physician - Podiatry | 3072575109 | Practice locations: Poughkeepsie, NY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
3072575109
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
3072575109
National Provider Directory
National Provider Directory- Tax ID family
- Nathan Lieberman MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Fishkill, NY
- NPI 1255888079
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Locations
22 Fairmont Ave
Poughkeepsie, NY 12603
Phone (845) 454-0630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473379200000",
"number": "1760939581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH RD STE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011173",
"telephone_number": "845-471-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 FAIRMONT AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032422",
"telephone_number": "845-845-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A",
"authorized_official_last_name": "NAPOLITANO",
"authorized_official_first_name": "PENNY",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "845-471-9410"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
- 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
- Casey Pribnow, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.