Deerfield Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEERFIELD FAMILY PRACTICE, PLLC

Practice address

5592 Trenton Rd
Utica, NY 13502-1138

Phone

(315) 724-7999

Fax

(315) 724-3109

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph C Booth, MD

Title

Physician

Phone

(315) 724-7999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184788879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5592 TRENTON RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021138",
            "telephone_number": "315-724-7999",
            "fax_number": "315-724-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5592 TRENTON RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021138",
            "telephone_number": "315-724-7999",
            "fax_number": "315-724-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-724-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BA0315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Decker, LMHC
• Sarah Decker, CASAC
• Carol Declue, LMSW, LCSW
• Rebecca A Deeley, M.D.
• Kristen M. Deep, FNP
• Lisa Deering
• Alison C Defrank
• Annette Maria Degironimo-Tennyson, OTR/L
• Teresa Degrace, M.S. ED.
• Anthony V. Deiorio, MD

• Family Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.