NPIMap

Organization Active NPI

Fulton Montgomery Medical PC

Doing business as Mohawk Valley Orthopedics Associates

  • Orthopaedic Surgery Physician
  • Amsterdam, NY
National Provider Identifier
1063235091
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FULTON MONTGOMERY MEDICAL PC
Doing business as
Mohawk Valley Orthopedics Associates
Practice address
5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532
Phone
(518) 842-2663
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Dr. Brian McDermott, MD
Title
Shareholder
Phone
(518) 841-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532

Mailing address

427 Guy Park Ave
Amsterdam, NY 12010-1003
Phone (518) 770-7583

Other practice location 1

434 S Kingsboro Ave Ste 102
Johnstown, NY 12095-3822
Phone (518) 773-4242

Other names 1

  • Mohawk Valley Orthopedics Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117000961 NY Part B Supplier - Clinic/Group Practice 1557899648 Receives reassigned benefits from 7 practitioners
Practice locations: Amsterdam, NY; Johnstown, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1063235091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101003",
            "telephone_number": "518-770-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 S Kingsboro Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "NY",
            "postal_code": "120953822",
            "country_code": "US",
            "telephone_number": "518-773-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULTON MONTGOMERY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "518-841-7124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohawk Valley Orthopedics Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.