Individual provider Active NPI

James G Lodolce, MD

  • Family Medicine Physician
  • Fayetteville, NY
National Provider Identifier
1275593600
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
120383 Issued in NY
Practice address
4101 Medical Center Dr
Fayetteville, NY 13066-6610
Phone
(315) 637-7878
Fax
(315) 329-7825
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 120383 NY Primary

Addresses

Primary practice location

4101 Medical Center Dr
Fayetteville, NY 13066-6610

Mailing address

4101 Medical Center Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878

Other practice location 1

803 Genesee St
Skaneateles, NY 13152-1315
Phone (315) 685-9355

Other practice location 2

303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100

Other practice location 3

37 W Garden St Ste 105
Auburn, NY 13021-2663
Phone (315) 252-0000

Other identifiers 1

IdentifierTypeStateIssuer
00567051MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000898 NY Practitioner - Family Practice 5991720724 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Dec 15, 2021 Accepting new patients
Auburn Memorial Medical Services, PC Family Medicine CurrentSince Dec 15, 2021 Accepting new patients
Auburn Community Hospital Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

303 Grant Ave
Auburn, NY 13021
Phone (315) 253-1805

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

4101 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7878

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1275593600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666600",
            "telephone_number": "315-637-7878",
            "fax_number": "315-329-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666610",
            "telephone_number": "315-637-7878",
            "fax_number": "315-329-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131521315",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 W Garden St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212663",
            "country_code": "US",
            "telephone_number": "315-252-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODOLCE",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "120383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00567051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.