Organization Active NPI

DMC Consultant Group, Wbe LLC

  • Health Maintenance Organization
  • Syracuse, NY
National Provider Identifier
1083058366
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Apr 17, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.