PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C. (NPI# 1336699313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336699313 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C. |
| Practice Address |
243 North Rd Ste 101 Poughkeepsie NY 12601-1173 |
| Mailing Address |
243 North Rd Ste 304 Poughkeepsie NY 12601-1173 |
| Practice Telephone | 8454719410 |
| Mailing Telephone | 8454729410 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255888079 | Premier Medical Group of The Hudson Valley, P.C. | Podiatrist | 969 Main St, Fishkill, NY 12524-1789 | 2016-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C. | 243 North Road, Suite 304, Poughkeepsie, Ny 12601 |
| Street Address |
243 NORTH RD STE 101 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053382838 | Robert Charles Parajon | Podiatrist | 243 North Rd Ste 101, Poughkeepsie, NY 12601-1173 | 2006-01-30 |
| 1649415035 | Simona Meca | Internal Medicine | 243 North Rd Ste 101, Poughkeepsie, NY 12601-1173 | 2008-12-13 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386180677 | Northern Medical Group Pllc | Podiatrist | 159 Barnegat Rd Ste 201, Poughkeepsie, NY 12601-5402 | 2017-01-11 |
| 1508988577 | Frank Popovic | Podiatrist | 460 Freedom Plains Rd, Poughkeepsie, NY 12603-2676 | 2007-04-03 |
| 1053382838 | Robert Charles Parajon | Podiatrist | 243 North Rd Ste 101, Poughkeepsie, NY 12601-1173 | 2006-01-30 |
| 1295728582 | James J Delorenzo | Podiatrist | 143 Hooker Ave, Poughkeepsie, NY 12601-4936 | 2005-08-23 |
| 1639179294 | Lewis J Sims Dpm P.C. | Podiatrist | 19 Baker Ave Ste 203, Poughkeepsie, NY 12601-1375 | 2005-07-26 |
| 1134128960 | Lewis J. Sims | Podiatrist | 19 Baker Ave, Ste 203, Poughkeepsie, NY 12601-1375 | 2005-07-14 |
| 1538163290 | Audra Rochelle Siegel | Podiatrist | 22 Fairmont Ave, Poughkeepsie, NY 12603-2422 | 2005-06-10 |
| 1538790951 | Health Quest Medical Practice, PC | Podiatrist | 23 Davis Ave, Poughkeepsie, NY 12603-2455 | 2020-02-04 |
| 1265998868 | Health Quest Medical Practice, PC | Podiatrist | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2019-02-19 |
| 1760939581 | Premier Medical Group of The Hudson Valley, P.c | Podiatrist | 22 Fairmont Ave, Poughkeepsie, NY 12603-2422 | 2016-09-09 |
| Find all providers in POUGHKEEPSIE | ||||
| 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.