Medical Weight Loss of New York, PLLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

MEDICAL WEIGHT LOSS OF NEW YORK, PLLC

Practice address

6800 E Genesee St
Suite 1501
Fayetteville, NY 13066-1089

Phone

(315) 391-9390

Fax

(315) 445-0056

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Bryan T Wendel

Title

Practice Manager

Phone

(315) 445-0003

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie C Cannizzo, N.P.

  • Family Nurse Practitioner
  • Fayetteville, NY
  • NPI 1235527870
  NPD (past)
• Heidi M Czajkowski, PA

  • Medical Physician Assistant
  • Fulton, NY
  • NPI 1972830511
  NPD (past)
• Wendy M Scinta, MD

  • Family Medicine Physician
  • Manlius, NY
  • NPI 1861471500
  NPD (past)
• Shania Marie Shuster, FNP, CNM

  • Midwife
  • Central Square, NY
  • NPI 1538873674
  NPD (past)
• Danielle Geneva Weekes, MD

  • General Practice Physician
  • Fayetteville, NY
  • NPI 1902399108
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1174940696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "address_2": "SUITE 1501",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661089",
            "telephone_number": "315-391-9390",
            "fax_number": "315-445-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "address_2": "SUITE 1501",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661089",
            "telephone_number": "315-391-9390",
            "fax_number": "315-445-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEIGHT LOSS OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-445-0003"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis P McKevitt, DDS
• Dennis John McKillop, PH.D.
• Kristen Ann McNamara, MD.
• Elizabeth Humphrey McNany, MD.
• Patricia Susan McNulty, LCSW
• Rebecca Julia Migenes, MSW
• James W Mikesell, PH.D.
• Michelle Judith Militi, LMHC
• Maryann Elizabeth Millar, MD
• Jennifer L Miller, PT

• Obesity Medicine (Family Medicine) Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Obesity Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.