1. Home
  2. Directory
  3. New York
  4. Poughkeepsie
  5. Internal Medicine
  6. NPI Profile

POUGHKEEPSIE MEDICAL GROUP LLP
NPI 1700979507
Internal Medicine in Poughkeepsie, NY

Active since October 02, 2006CLIA 33D0164296 · Waiver
375 HOOKER AVE., POUGHKEEPSIE, NY 12603(845) 454-5000(845) 454-9880 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Poughkeepsie Medical Group Llp NPPES

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

POUGHKEEPSIE MEDICAL GROUP LLP (NPI 1700979507) is a healthcare organization registered as an internal medicine in Poughkeepsie, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Sumita Mazumdar, Billing Supervisior, as its authorized official.

NPPES Registry Identity

NPI1700979507
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePOUGHKEEPSIE MEDICAL GROUP LLP
Location Address375 HOOKER AVE.Poughkeepsie, NY 12603
Mailing Address375 Hooker AvePoughkeepsie, NY 12603 · (845) 454-5000 · Fax (845) 454-9880
Phone(845) 454-5000
Fax(845) 454-9880
Organization SubpartNo
Authorized OfficialSumita MazumdarBilling Supervisior · (845) 454-5000
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 28, 2015
✔ NPI 1700979507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
375 HOOKER AVE., Poughkeepsie, NY 12603
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINW91301NY
Medicaid01076948NY

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 33D0164296

Poughkeepsie Medical Group · Poughkeepsie, NY
Active · expires Dec 31, 2026
CLIA Number33D0164296
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. Henry Kamenecka
Laboratory Phone(845) 454-5000
Laboratory LocationPoughkeepsie Medical Group375 Hooker Avenue, Poughkeepsie, NY 12603
CLIA data matches this NPI record on: Address 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 Poughkeepsie Medical Group LLP's NPI number?

The NPI number for Poughkeepsie Medical Group LLP is 1700979507. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Poughkeepsie Medical Group LLP located?

Poughkeepsie Medical Group LLP is located at 375 Hooker Ave., Poughkeepsie, NY 12603. The listed phone number is (845) 454-5000.

What is Poughkeepsie Medical Group LLP's specialty?

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

Does Poughkeepsie Medical Group LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0164296) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Poughkeepsie Medical Group LLP was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.