Active NPI
Digestive Disease Medicine of Central New York, LLP
- Medical Specialty Clinic/Center
- Utica, NY
National Provider Identifier
1083785372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- DIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP
- Practice address
- 116 Business Park Drive
1St Floor
Utica, NY 13502-6313 - Phone
- (315) 624-7000
- Fax
- (315) 793-1129
- NPI assigned
- Nov 10, 2006
- 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
- Bradley F Sklar, MD
- Title
- Owner
- Phone
- (315) 624-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Mailing address
116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Phone (315) 624-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051207000321 | NY | Part B Supplier - Clinic/Group Practice | 1254351141 |
Receives reassigned benefits from 22 practitioners Practice locations: Utica, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 30
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": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1083785372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 BUSINESS PARK DRIVE",
"address_2": "1ST FLOOR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026313",
"telephone_number": "315-624-7000",
"fax_number": "315-793-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BUSINESS PARK DRIVE",
"address_2": "1ST FLOOR",
"city": "UTICA",
"state": "NY",
"postal_code": "135026313",
"telephone_number": "315-624-7000",
"fax_number": "315-793-1129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "SKLAR",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-624-7000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.