Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellenville Medical Group

Organization Internal Medicine Physician · NPI 1831222058

Ellenville Medical Group is an Internal Medicine Physician in Ellenville, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

60 Center St
Ellenville, NY 12428-1313
Phone: (845) 647-3354
Fax: (845) 647-7487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 095044 (NY)

Record details

NPI number1831222058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Sperling — Owner · (845) 647-5300
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address60 Center St, Ellenville, NY 12428-1313

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