{"npi":"1487196622","type":"NPI-2","status":"active","name":{"display":"Northern Medical Group, PLLC","other":[],"organization_name":"NORTHERN MEDICAL GROUP, PLLC","authorised_official":"Maddipoti Choudry"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"207RC0001X","description":"Clinical Cardiac Electrophysiology Physician","primary":false,"state":null,"license":null},{"code":"207RE0101X","description":"Endocrinology, Diabetes & Metabolism Physician","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"111 CLOCK TOWER CMNS","city":"BREWSTER","state":"NY","postal_code":"105094055","country_code":"US","phone":"8452795187","fax":"8557037570"},{"purpose":"MAILING","street_1":"111 CLOCK TOWER CMNS","city":"BREWSTER","state":"NY","postal_code":"105094055","country_code":"US","phone":"8452795187","fax":"8557037570"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"04755717","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-11-04","last_updated":"2026-01-28","_meta":{"source":"NPPES","snapshot_date":"2026-01-28","doc_url":"https://findmynpi.com/api"}}