Pulmonary Critical Care and Sleep Medicine PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

242965 Issued in NY

Legal business name

PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC

Practice address

1450 Champlin Ave
Utica, NY 13502-3662

Phone

(315) 624-9000

Fax

(315) 624-9003

NPI assigned

Jul 5, 2012

Last updated

Mar 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anwar Wassel, MDNPI 1376707521

Title

Managing

Phone

(315) 624-9004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anwar Wassel, MD

  • Pulmonary Disease Physician
  • Utica, NY
  • NPI 1376707521
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Diane Carnevale, FNP-C

  • Family Nurse Practitioner
  • Utica, NY
  • NPI 1962617159
  Medicare reassignment Care Compare group NPD
• Sejla Grosonja, FNP

  • Family Nurse Practitioner
  • New Hartford, NY
  • NPI 1124689948
  Medicare reassignment Care Compare group NPD
• Crystal Sipley, FNP

  • Nurse Practitioner
  • New Hartford, NY
  • NPI 1912492893
  Medicare reassignment Care Compare group NPD
• Stephanie Lynn Moshinskie, NP

  • Family Nurse Practitioner
  • Schenectady, NY
  • NPI 1518530492
  Medicare reassignment NPD
• Donalt Mutimura

  • Nurse Practitioner
  • Utica, NY
  • NPI 1831919299
  Medicare reassignment NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1194080291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023662",
            "telephone_number": "315-624-9000",
            "fax_number": "315-624-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1676 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025416",
            "country_code": "US",
            "telephone_number": "315-624-8127",
            "fax_number": "315-624-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "MANAGING",
        "authorized_official_telephone_number": "315-624-9004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "242965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Prumo, RN
• Psychiatric Services of Central New York
• Morgan Pughe
• Melissa Puglisi, LMSW
• Bianca Nicole Pulice, OTR
• Pure Chiropractic of Utica, PLLC (Pure Chiropractic)
• Mary Beth Putman
• Ruth Elizabeth Putney, PT
• Rosangela Putrelo, CRNA
• John Pylman, M.D.

• Pulmonary Disease Physician in Utica, NY
• Providers in Utica, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.