PREMIER MEDICAL GROUP
NPI 1154856896
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Poughkeepsie, NY

Active since May 01, 2017CLIA Certified · 10 labs
50 EASTDALE AVE N, POUGHKEEPSIE, NY 12603(845) 437-5000 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER MEDICAL GROUP (NPI 1154856896) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Poughkeepsie, New York and active in the NPI registry since May 2017. The organization holds 10 active CLIA laboratory certificates and lists Sunil Khurana, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154856896
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NamePREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.
Location Address50 EASTDALE AVE NPoughkeepsie, NY 12603
Mailing Address243 North Rd, Suite 304Poughkeepsie, NY 12601-1172 · (845) 451-7251 · Fax (845) 471-7372
Organization SubpartNo
Authorized OfficialSunil KhuranaCeo · (845) 471-9410
Enumeration DateMay 1, 2017
Last NPPES UpdateJanuary 29, 2020
NPI 1154856896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic 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.
50 EASTDALE AVE N, Poughkeepsie, NY 12603

Other Names 1

Doing Business AsPremier Medical Group

Other Identifiers 1

Other7411960004Medicare/dmepos

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 10

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0876894

Premier Medical Group Of The Hudson Valley PC · Poughkeepsie, NY
Active · expires Aug 31, 2026
CLIA Number33D0876894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Sunil K. Khurana
Laboratory Phone(845) 471-9410
Laboratory LocationPremier Medical Group Of The Hudson Valley PC243 North Road, Suite101, 301, 303, 304, Poughkeepsie, NY 12601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D0725710

Premier Medical Group Of The Hudson Valley PC · Poughkeepsie, NY
Active · expires Mar 26, 2027
CLIA Number33D0725710
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Elpidio Jimenez
Laboratory Phone(845) 475-9395
Laboratory LocationPremier Medical Group Of The Hudson Valley PC50 Eastdale Avenue North, Poughkeepsie, NY 12603
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 33D0895415

Premier Medical Group Of The Hudson Valley Anita V Pavels MD · Poughkeepsie, NY
Active · expires Dec 7, 2026
CLIA Number33D0895415
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorDr. Anita V. Pavels
Laboratory Phone(845) 454-4600
Laboratory LocationPremier Medical Group Of The Hudson Valley Anita V Pavels MD243 North Road, Suite 103, Poughkeepsie, NY 12601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2097630

Premier Medical Group Of The Hudson Valley, PC · Fishkill, NY
Active · expires Jun 18, 2027
CLIA Number33D2097630
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorDr. Sunil K. Khurana
Laboratory Phone(845) 471-9410
Laboratory LocationPremier Medical Group Of The Hudson Valley, PC969 Main Street, Suite 5D, Fishkill, NY 12524
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2317496

Premier Medical Group Of The Hudson Valley PC · Poughkeepsie, NY
Active · expires Jan 26, 2027
CLIA Number33D2317496
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorJason Krumholtz
Laboratory Phone(845) 437-5000
Laboratory LocationPremier Medical Group Of The Hudson Valley PC50 Eastdale Avenue 2nd Floor, Poughkeepsie, NY 12603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0709360

Premier Medical Group Of The Hudson Valley PC · New Windsor, NY
Active · expires Dec 10, 2026
CLIA Number33D0709360
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDr. Jaspreet Singh
Laboratory Phone(845) 437-5000
Laboratory LocationPremier Medical Group Of The Hudson Valley PC955 Little Britian Road, New Windsor, NY 12553
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Obstetrics & Gynecology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Physician Assistant
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603
Urology
50 EASTDALE AVE N
POUGHKEEPSIE, NY 12603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Medical Group Of The Hudson Valley P.C.'s NPI number?

The NPI number for Premier Medical Group Of The Hudson Valley P.C. is 1154856896. It was assigned to this organization in the NPPES registry on May 1, 2017. The provider is doing business as Premier Medical Group.

Where is Premier Medical Group Of The Hudson Valley P.C. located?

Premier Medical Group Of The Hudson Valley P.C. is located at 50 Eastdale Ave N, Poughkeepsie, NY 12603. The listed phone number is (845) 437-5000.

What is Premier Medical Group Of The Hudson Valley P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Does Premier Medical Group Of The Hudson Valley P.C. hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premier Medical Group Of The Hudson Valley P.C. was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.