Active NPI
Pulmonary Critical Care and Sleep Medicine PLLC
- Pulmonary Disease Physician
- Utica, NY
National Provider Identifier
1194080291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 242965
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anwar Wassel, MD
- Title
- Managing
- Phone
- (315) 624-9004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 242965 | NY | Primary |
Addresses
Primary practice location
1450 Champlin Ave
Utica, NY 13502-3662
Mailing address
PO Box 821
New Hartford, NY 13413-0821
Other practice location 1
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121017000028 | NY | Part B Supplier - Clinic/Group Practice | 1052561651 |
Receives reassigned benefits from 6 practitioners Practice locations: Rome, NY; Utica, NY |
National Provider Directory
National Provider DirectoryLocations
91 Perimeter Rd
Ste 180
Rome, NY 13441
Phone (315) 336-8302
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
Practitioners & affiliated clinicians
Practitioners 6
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": "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": []
}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 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.