NPIMap

Organization Active NPI

Chittenango Medical & Wellness Assoc PC

Doing business as American Medwell

  • Internal Medicine Physician
  • Chittenango, NY
National Provider Identifier
1518016997
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHITTENANGO MEDICAL & WELLNESS ASSOC PC
Doing business as
American Medwell
Lafayette Healthcare Associates
Practice address
304 Genesee Street
Chittenango, NY 13037-1707
Phone
(315) 687-6467
Fax
(315) 251-2240
NPI assigned
Jan 9, 2007
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Brianne L Tresohlavy
Title
Office Manager/Billing Manager
Phone
(315) 687-6467

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X
Internal Medicine Physician 207R00000X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

304 Genesee Street
Chittenango, NY 13037-1707

Mailing address

304 Genesee Street
Chittenango, NY 13037-1707
Phone (315) 687-6467

Other names 2

  • American Medwell Doing business as
  • LAFAYETTE HEALTHCARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

304 Genesee St
Chittenango, NY 13037
Phone (315) 687-6467

6050 US Route 20
La Fayette, NY 13084
Phone (315) 677-5526

3709 Erie Blvd E
Syracuse, NY 13214
Phone (315) 251-2244

Practitioners & affiliated clinicians

Practitioners 7

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1518016997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467",
            "fax_number": "315-251-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467",
            "fax_number": "315-251-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENANGO MEDICAL & WELLNESS ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "TRESOHLAVY",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING MANAGER",
        "authorized_official_telephone_number": "315-687-6467"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medwell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAFAYETTE HEALTHCARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAFAYETTE HEALTHCARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chittenango, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.