Active NPI
DMC Consultant Group, Wbe LLC
- Health Maintenance Organization
- Syracuse, NY
National Provider Identifier
1083058366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- DMC CONSULTANT GROUP, WBE LLC
- Practice address
- 103 Edgemont Dr
Syracuse, NY 13214-2010 - Phone
- (315) 565-8960
- Fax
- (315) 299-6257
- NPI assigned
- Apr 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn Michele Conley-Morelli
- Title
- Ceo/President
- Phone
- (315) 565-8960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
103 Edgemont Dr
Syracuse, NY 13214-2010
Mailing address
103 Edgemont Dr
Syracuse, NY 13214-2010
Phone (315) 565-8960
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366156800000",
"number": "1083058366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 EDGEMONT DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132142010",
"telephone_number": "315-565-8960",
"fax_number": "315-299-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 EDGEMONT DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132142010",
"telephone_number": "315-565-8960",
"fax_number": "315-299-6257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMC CONSULTANT GROUP, WBE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A",
"authorized_official_last_name": "CONLEY-MORELLI",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "315-565-8960",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.