Individual provider Active NPI

Andrew L Finley, MD

  • Family Medicine Physician
  • Fayetteville, NY
National Provider Identifier
1396748414
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
166848 Issued in NY
Practice address
4103 Medical Center Dr
Fayetteville, NY 13066-6600
Phone
(315) 637-7800
Fax
(315) 637-7808
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 166848 NY
Family Medicine Physician 207Q00000X 166848 NY Primary

Addresses

Primary practice location

4103 Medical Center Dr
Fayetteville, NY 13066-6600

Mailing address

145 Kenwood Ave
Oneida, NY 13421-2829
Phone (315) 363-5122

Other identifiers 1

IdentifierTypeStateIssuer
01351371MedicaidNY

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
I20050110000352 NY Practitioner - Family PracticePractitioner - Emergency Medicine 4587658448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Nov 1, 2020 Accepting new patients
North Medical PC Emergency Medicine Current Accepting new patients
St Josephs Medical PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Adirondack Medical Health Care Associates PLLC Emergency Medicine PastSince Apr 13, 2004 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine Past Accepting new patients

Locations

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

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

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

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

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

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

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

230 N Genesee St
Utica, NY 13502
Phone (315) 275-3214

Organizations & group practices 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1396748414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KENWOOD AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212829",
            "telephone_number": "315-363-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666600",
            "telephone_number": "315-637-7800",
            "fax_number": "315-637-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLEY",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "166848",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "166848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.