PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C. (NPI# 1255437166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437166 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C. |
| Practice Address |
243 North Rd Poughkeepsie NY 12601-1172 |
| Mailing Address |
243 North Road Suite 304 Poughkeepsie NY 12601-0000 |
| Practice Telephone | 8454540630 |
| Practice Fax Number | 8454640637 |
| Mailing Telephone | 8454719410 |
| Mailing Fax Number | 8454717943 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | PENNY NAPOLITANO (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8454719410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154856896 | Premier Medical Group of The Hudson Valley P.C. | Obstetrics & Gynecology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2017-05-01 |
| Street Address |
243 NORTH RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082407 | Sunil Kumar Khurana | Internal Medicine | 243 North Rd, Ste 304, Poughkeepsie, NY 12601 | 2005-06-09 |
| 1205210366 | Meggin Sabatino | Nurse Practitioner | 243 North Rd, Suite 304, Poughkeepsie, NY 12601-1172 | 2015-07-17 |
| 1528321924 | Elizabeth Williams | Internal Medicine | 243 North Rd, Suite 304, Poughkeepsie, NY 12601-1172 | 2012-06-20 |
| 1568738078 | Christie Lynn Spanos | Occupational Therapist | 243 North Rd, Poughkeepsie, NY 12601-1172 | 2012-03-29 |
| 1922305754 | Premier Affiliates LLC | Clinic/Center | 243 North Rd, Suite 301, Poughkeepsie, NY 12601-1172 | 2011-02-14 |
| 1033350426 | Mahboobur Rahman Md & Gopa Rahman Md | Internal Medicine | 243 North Rd, Suite 201n, Poughkeepsie, NY 12601-1172 | 2009-03-13 |
| 1790963106 | Gastroenterology Associates | Specialist | 243 North Rd, Suite 304, Poughkeepsie, NY 12601-1172 | 2008-02-07 |
| 1386837524 | Iris M Petrillo | Nurse Practitioner | 243 North Rd, Suite 304, Poughkeepsie, NY 12601-1172 | 2007-08-21 |
| 1902002413 | William Avena Avancena | Physical Therapist | 243 North Rd, Poughkeepsie, NY 12601-1172 | 2007-06-22 |
| 1689883506 | Brian Louis Angora | Physical Therapy Assistant | 243 North Rd, Poughkeepsie, NY 12601-1172 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124144498 | Walter Roberts Parker | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2007-03-21 |
| 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 |
| 1639274699 | Evan R Goldfischer | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-09-14 |
| 1285739235 | Michael P Solliday | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-09-14 |
| 1982709945 | Paul K Pietrow | Urology | 50 Eastdale Ave N, Poughkeepsie, NY 12603 | 2006-09-14 |
| 1477658433 | Mark R Libin | Urology | 1 Columbia Street, Suite 390, Poughkeepsie, NY 12601-3930 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C..
| 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.