Active NPI
Mohawk Valley Family Medicine PLLC
- Family Medicine Physician
- Utica, NY
National Provider Identifier
1255288452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOHAWK VALLEY FAMILY MEDICINE PLLC
- Practice address
- 1450 Champlin Ave
Utica, NY 13502-3605 - Phone
- (315) 624-2900
- Fax
- (315) 735-4391
- NPI assigned
- Mar 16, 2026
- Last updated
- Mar 16, 2026
- 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
- Mario Wassel, MD
- Title
- Owner
- Phone
- (315) 624-2900
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1450 Champlin Ave
Utica, NY 13502-3605
Mailing address
PO Box 413
New Hartford, NY 13413-0413
Phone (315) 624-2900
Other practice location 1
7845 Rome Westernville Rd
Rome, NY 13440-2202
Phone (315) 337-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Barneveld, NY
- NPI 1922561273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1255288452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134130413",
"telephone_number": "315-624-2900",
"fax_number": "315-735-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135023605",
"telephone_number": "315-624-2900",
"fax_number": "315-735-4391"
}
],
"practiceLocations": [
{
"address_1": "7845 Rome Westernville Rd",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "NY",
"postal_code": "134402202",
"country_code": "US",
"telephone_number": "315-337-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOHAWK VALLEY FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A",
"authorized_official_last_name": "WASSEL",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-624-2900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
- Leann Mogensen, PHYSICAL THERAPIST
- Taha Mohammad, MD
- Mohawk Hospital Equipment, Inc.
- Mohawk Valley Cardiology PC
- Mohawk Valley Ec, LLC (Mohawk Valley Endoscopy Center)
- Mohawk Valley Home Care LLC
- Mohawk Valley Imaging, PC
- Mohawk Valley Nephrology Associates, LLP (Mohawk Valley Nephrology Associates)
- Mohawk Valley Nephrology PLLC
- Mohawk Valley Nutritional Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.