Individual provider Active NPI

Frederick M Occhino, D.O.

  • Family Medicine Physician
  • Hamburg, NY
National Provider Identifier
1497781462
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
108941 Issued in NY
Practice address
517 Sunset Dr
Hamburg, NY 14075-4231
Phone
(716) 646-2590
Fax
(716) 646-2593
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11880 FL
Addiction Medicine (Family Medicine) Physician 207QA0401X OS11880 FL
Family Medicine Physician 207Q00000X 108941 NY Primary

Addresses

Primary practice location

517 Sunset Dr
Hamburg, NY 14075-4231

Mailing address

517 Sunset Dr
Hamburg, NY 14075-4231
Phone (716) 646-2590

Other identifiers 1

IdentifierTypeStateIssuer
00593724MedicaidNY

Other names 1

  • Dr. Frederick M Occhino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108941NYMDFamily Medicine Physician
OS11880FLMDAddiction Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1497781462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-646-2590",
            "fax_number": "716-646-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-646-2590",
            "fax_number": "716-646-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHINO",
        "first_name": "FREDERICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11880",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "OS11880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "108941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "OCCHINO",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.