Individual provider Active NPI

Michele Conte Dischiavo, PA

  • Physician Assistant
  • Utica, NY
National Provider Identifier
1144209388
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007840 Issued in NY
Practice address
116 Business Park Dr
1St Floor
Utica, NY 13502-6313
Phone
(315) 624-7000
Fax
(315) 793-1129
NPI assigned
Jan 16, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007840 NY Primary

Addresses

Primary practice location

116 Business Park Dr
1St Floor
Utica, NY 13502-6313

Mailing address

116 Business Park Dr
1St Floor
Utica, NY 13502-6313
Phone (315) 624-7000

Other names 1

  • Ms. Michele Lynn Conte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515003180 NY Order and Referring Only - Physician Assistant 3577798800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1144209388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DR",
            "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 DR",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCHIAVO",
        "first_name": "MICHELE",
        "middle_name": "CONTE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "CONTE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.