Tri County Family Health and Adult Health NP Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES

Practice address

204 County Road 39
Afton, NY 13730-2252

Phone

(607) 208-4284

Fax

(607) 900-3336

NPI assigned

Aug 31, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph John Brennan, MBA, MSNPI 1790328300

Title

NP

Phone

(607) 208-4284

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Brennan, DNP, MBA

  • Adult Health Nurse Practitioner
  • Afton, NY
  • NPI 1790328300
  Medicare reassignment Care Compare group NPD Authorized official
• David Gordon Hochman, NP

  • Family Nurse Practitioner
  • Afton, NY
  • NPI 1558339614
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1053089516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COUNTY ROAD 39",
            "city": "AFTON",
            "state": "NY",
            "postal_code": "137302252",
            "telephone_number": "607-208-4284",
            "fax_number": "607-900-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 COUNTY ROAD 39",
            "city": "AFTON",
            "state": "NY",
            "postal_code": "137302252",
            "telephone_number": "607-208-4284",
            "fax_number": "607-900-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "607-208-4284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Parker
• David James Puglisi, LMSW
• R Felldin LCSW-R Clinical Support
• Sally M Hartwick, MD PLLC
• Stephen L Dygert, MD (Afton Family Health Center)
• Hollie Elizabeth Vanderheide, LMT
• Cecelia B Ventra, LPN
• Phyllis Ann Walsh, LMSW ACSW
• Amanda Rae McFee Winans, PHARMD

• Family Nurse Practitioner in Afton, NY
• Providers in Afton, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.