Organization Active NPI

Mohawk Valley Family Medicine PLLC

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1255288452
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Mario Wassel, MDNPI 1922561273
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260429000866 NY Part B Supplier - Clinic/Group Practice 3274000187 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, NY; Utica, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.