Organization Active NPI

Occupational Medicine Associates

  • Adult Medicine Physician
  • Watertown, NY
National Provider Identifier
1407057839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
104750 Issued in NY
Legal business name
OCCUPATIONAL MEDICINE ASSOCIATES
Practice address
200 Mullin St
#201
Watertown, NY 13601-3619
Phone
(315) 782-9125
Fax
(315) 786-1564
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Joseph Moehs, MDNPI 1548286438
Title
President
Phone
(315) 782-9125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X 104750 NY Primary

Addresses

Primary practice location

200 Mullin St
#201
Watertown, NY 13601-3619

Mailing address

200 Mullin St
#201
Watertown, NY 13601-3619
Phone (315) 782-9125

National Provider Directory

National Provider Directory

Locations

200 Mullin St
Ste 201
Watertown, NY 13601
Phone (315) 782-9125

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407057839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MULLIN ST",
            "address_2": "#201",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013619",
            "telephone_number": "315-782-9125",
            "fax_number": "315-786-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MULLIN ST",
            "address_2": "#201",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013619",
            "telephone_number": "315-782-9125",
            "fax_number": "315-786-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOEHS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-782-9125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "104750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.