Active NPI
Associated Medical Professionals of Ny, PLLC
- Urology Physician
- New Hartford, NY
National Provider Identifier
1497039127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
- Practice address
- 2 Ellinwood Dr
New Hartford, NY 13413-1110 - Phone
- (315) 724-1012
- Fax
- (315) 724-5219
- NPI assigned
- Sep 29, 2011
- Last updated
- Jul 15, 2020
- Organization subpart
- Yes
- Parent organization
- ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angelo R. Derosalia, MD
- Title
- Authorized Official
- Phone
- (315) 458-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
2 Ellinwood Dr
New Hartford, NY 13413-1110
Mailing address
100 Metropolitan Park Dr.
Suite 100
Liverpool, NY 13088-5842
Phone (315) 870-9370
Other names 1
- New Hartford Division - 2 Ellinwood
National Provider Directory
National Provider Directory- Part of
- Associated Medical Professionals of Ny PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594771200000",
"number": "1497039127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 METROPOLITAN PARK DR.",
"address_2": "SUITE 100",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130885842",
"telephone_number": "315-870-9370",
"fax_number": "315-558-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ELLINWOOD DR",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131110",
"telephone_number": "315-724-1012",
"fax_number": "315-724-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC",
"enumeration_date": "2011-09-29",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A",
"authorized_official_last_name": "DEROSALIA",
"authorized_official_first_name": "ANGELO",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "315-458-3343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Hartford Division - 2 Ellinwood",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "New Hartford Division - 2 Ellinwood",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.