NORTHERN MEDICAL GROUP, PLLC
NPI 1174994826
Internal Medicine in Brewster, NY

Q: What is Northern Medical Group, PLLC's NPI number?

The NPI number for Northern Medical Group, PLLC is 1174994826. It was assigned to this organization in the NPPES registry on October 7, 2015.

Q: What is Northern Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 07, 2015CLIA Certified · 2 labs

111 CLOCK TOWER CMNS, BREWSTER, NY 10509(845) 279-5187(855) 703-7570 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 30, 2026, Jan 28, 2026 and 1 more (4 updates tracked since 2015).

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About Northern Medical Group, Pllc NPPES

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

NORTHERN MEDICAL GROUP, PLLC (NPI 1174994826) is a healthcare organization registered as an internal medicine in Brewster, New York and active in the NPI registry since October 2015. The organization holds 2 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Christine M Bushey, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1174994826

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameNORTHERN MEDICAL GROUP, PLLC

Location Address111 CLOCK TOWER CMNSBrewster, NY 10509-4055

Mailing Address111 Clock Tower CmnsBrewster, NY 10509-4055 · (845) 279-5187 · Fax (855) 703-7570

Phone(845) 279-5187

Fax(855) 703-7570

Organization SubpartNo

Authorized OfficialChristine M BusheyBilling Manager · (845) 592-4915

Enumeration DateOctober 7, 2015

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1174994826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

111 CLOCK TOWER CMNS, Brewster, NY 10509

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Secondary Practice Locations 5

Location 1121 Clock Tower CmnsBrewster, NY 10509-4055 · Phone (845) 279-5800 · Fax (855) 703-7570

Location 2667 Stoneleigh Ave Ste 117Carmel, NY 10512-2455 · Phone (845) 279-5187 · Fax (855) 703-7570

Location 3129 Clove Branch RdHopewell Junction, NY 12533-5284 · Phone (845) 279-5187 · Fax (855) 703-7570

Location 4888 Route 6Mahopac, NY 10541-6201 · Phone (845) 279-5187 · Fax (855) 703-7570

Location 5198 Route 22Pawling, NY 12564-3241 · Phone (845) 279-5187 · Fax (855) 703-7570

Other Identifiers 1

Medicaid04755717NY

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 2

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 33D2326708

Northern Medical Group PLLC Dba Nms Brewster Pediatrics · Brewster, NY

Active · expires Jul 8, 2027

CLIA Number33D2326708

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2025

Certificate Expiration DateJuly 8, 2027

Laboratory DirectorUsha Devi Veeramachaneni

Laboratory Phone(845) 279-5800

Laboratory LocationNorthern Medical Group PLLC Dba Nms Brewster Pediatrics121 Clocktower Commons, Brewster, NY 10509

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2320920

Northern Medical Group PLLC · Hopewell Jct, NY

Active · expires Mar 25, 2027

CLIA Number33D2320920

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorChoudry J. Maddipoti

Laboratory Phone(845) 279-5187

Laboratory LocationNorthern Medical Group PLLC129 Clove Branch Road Suite Nms, Hopewell Jct, NY 12533

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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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.

DR. MARCIE LYNN WOLINSKY-FRIEDLAND M.D.

Internal Medicine (Rheumatology)