Active NPI
Frederick M Occhino, D.O.
- Family Medicine Physician
- Hamburg, NY
National Provider Identifier
1497781462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 108941
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00593724 | Medicaid | NY |
Other names 1
- Dr. Frederick M Occhino
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108941 | NY | MD | Family Medicine Physician |
| OS11880 | FL | MD | Addiction 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.