PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C. (NPI# 1154856896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154856896 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C. |
| Other Organization Name | PREMIER MEDICAL GROUP |
| Practice Address |
50 Eastdale Ave N Poughkeepsie NY 12603 |
| Mailing Address |
243 North Rd Suite 304 Poughkeepsie NY 12601-1172 |
| Practice Telephone | 8454375000 |
| Mailing Telephone | 8454517251 |
| Mailing Fax Number | 8454717372 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | DR. SUNIL KHURANA (CEO) |
| Authorized Official Telephone | 8454719410 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE/DMEPOS | 7411960004 | 01 |
| Other Name | Type Code |
|---|---|
| Premier Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255437166 | Premier Medical Group of The Hudson Valley P.C. | Internal Medicine | 243 North Rd, Poughkeepsie, NY 12601-1172 | 2006-09-16 |
| Street Address |
50 EASTDALE AVE N |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902876535 | Donna Jean Kasello | Obstetrics & Gynecology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-01-25 |
| 1720367238 | Frances Hewlett Traver | Nurse Practitioner | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2011-08-15 |
| 1114150075 | Joanne Growney | Nurse Practitioner | 50 Eastdale Ave N, Poughkeepsie, NY 12601 | 2009-08-26 |
| 1124144498 | Walter Roberts Parker | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2007-03-21 |
| 1376607507 | David Michael Boss | Physician Assistant | 50 Eastdale Ave N, Poughkeepsie, NY 12603-1260 | 2006-12-21 |
| 1154416113 | Lawrence Anthony Zolnik | Obstetrics & Gynecology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-10-04 |
| 1366536245 | Naeem U Rahman | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603-1694 | 2006-10-03 |
| 1275627150 | Jason S Krumholtz | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-10-03 |
| 1104910082 | Daniel M Katz | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-10-03 |
| 1326144387 | Scott Kahn | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849703 | Sarah E Andiman | Obstetrics & Gynecology | 2507 South Rd, Poughkeepsie, NY 12601-5458 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629469507 | Anna Romanova | Obstetrics & Gynecology | 1176 5th Ave Fl 9, New York, NY 10029-6503 | 2015-02-12 |
| 1932531340 | Emil Gurshumov Medical P.C. | Obstetrics & Gynecology | 2265 Ocean Pkwy, Apt 2b, Brooklyn, NY 11223-5149 | 2013-08-08 |
| 1215281910 | Mount Sinai School of Medicine | Obstetrics & Gynecology | 8268 164th St Rm B265, Jamaica, NY 11432-1121 | 2012-11-01 |
| 1578839676 | Ann Tran | Obstetrics & Gynecology | 27 Barker Ave Apt 404, White Plains, NY 10601-1559 | 2012-03-23 |
| 1760775498 | Toy Gee Lee | Obstetrics & Gynecology | 601 Elmwood Ave Box 668, Rochester, NY 14642-0001 | 2011-05-27 |
| 1063746840 | Chandhana Paka | Obstetrics & Gynecology | 425 W 59th St # 4b, New York, NY 10019-8022 | 2009-09-25 |
| 1881891661 | Tirsit Shiferaw Asfaw | Obstetrics & Gynecology | 525 E 68th St # J130, New York, NY 10065-4870 | 2007-06-27 |
| 1790771657 | Soo Yun Kwon | Obstetrics & Gynecology | 9525 Queens Blvd Ste A, Rego Park, NY 11374-4511 | 2005-09-26 |
| 1407848906 | Samuel S Badalian | Obstetrics & Gynecology | 104 Union Ave Suite 803, Syracuse, NY 13203 | 2005-08-19 |
| 1104827583 | Anne Hardart | Obstetrics & Gynecology | 425 West 59th Street, Suite 9b, New York, NY 10019-1104 | 2005-08-09 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.