Organization Active NPI

Kelberman Center, Inc

  • Clinic/Center
  • Utica, NY
National Provider Identifier
1154779965
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KELBERMAN CENTER, INC
Practice address
430 Court St Ste 140
Utica, NY 13502-4290
Phone
(315) 797-6241
Fax
(315) 749-7054
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Maria Cappoletti
Title
Chief Executive Officer
Phone
(315) 797-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY Primary

Addresses

Primary practice location

430 Court St Ste 140
Utica, NY 13502-4290

Mailing address

2513 Sunset Ave
Utica, NY 13502-5851
Phone (315) 797-6241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161116002132 NY Part B Supplier - Clinic/Group Practice 8921387887 Receives reassigned benefits from 6 practitioners
Practice locations: East Syracuse, NY; Utica, NY; Whitesboro, NY

National Provider Directory

National Provider Directory
Tax ID family
Kelberman Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6611 Manlius Center Rd
East Syracuse, NY 13057

430 Court St
Ste 140
Utica, NY 13502

2310 Oneida St
Utica, NY 13501

Practitioners & affiliated clinicians

Practitioners 11

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": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1154779965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025851",
            "telephone_number": "315-797-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COURT ST STE 140",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024290",
            "telephone_number": "315-797-6241",
            "fax_number": "315-749-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELBERMAN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "CAPPOLETTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "315-797-6241"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "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 Aug 18, 2025; 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.