Active NPI
Occupational Medicine Associates
- Adult Medicine Physician
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 104750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Joseph Moehs, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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 DirectoryLocations
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.
-
- Adult Medicine Physician
- Watertown, NY
- NPI 1548286438
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.