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NORTHERN MEDICAL GROUP, PLLC
NPI 1487196630
Podiatrist in Carmel, NY

Active since November 04, 2016CLIA 33D0903777 · Waiver
667 STONELEIGH AVE STE 1117, CARMEL, NY 10512(845) 279-5136(845) 279-5168 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2020, Nov 4, 2016 (2 updates tracked since 2016).

About Northern Medical Group, Pllc NPPES

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

NORTHERN MEDICAL GROUP, PLLC (NPI 1487196630) is a healthcare organization registered as a podiatrist in Carmel, New York and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Maddipoti Choudry, President, as its authorized official.

NPPES Registry Identity

NPI1487196630
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHERN MEDICAL GROUP, PLLC
Location Address667 STONELEIGH AVE STE 1117Carmel, NY 10512-2454
Mailing Address159 Barnegat RdPoughkeepsie, NY 12601-5454 · (845) 592-4915 · Fax (845) 592-4914
Phone(845) 279-5136
Fax(845) 279-5168
Organization SubpartNo
Authorized OfficialMaddipoti ChoudryPresident · (845) 592-4915
Enumeration DateNovember 4, 2016
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1487196630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
667 STONELEIGH AVE STE 1117, Carmel, NY 10512
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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

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 33D0903777

Northern Medical Group PLLC · Carmel, NY
Active · expires Jul 27, 2027
CLIA Number33D0903777
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorMaddipoti Choudry
Laboratory Phone(845) 279-5136
Laboratory LocationNorthern Medical Group PLLC667 Stoneleigh Ave Suite 117, Carmel, NY 10512
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northern Medical Group, PLLC's NPI number?

The NPI number for Northern Medical Group, PLLC is 1487196630. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Northern Medical Group, PLLC located?

Northern Medical Group, PLLC is located at 667 Stoneleigh Ave Ste 1117, Carmel, NY 10512. The listed phone number is (845) 279-5136.

What is Northern Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Northern Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0903777) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Medical Group, PLLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.