Mohawk Valley Orthopedics, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MOHAWK VALLEY ORTHOPEDICS, P.C.

Practice address

5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532

Phone

(518) 842-2663

Fax

(518) 842-4861

NPI assigned

Jul 28, 2006

Reactivated

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell N.a. Cecil, M.D.

Title

President

Phone

(518) 842-2663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 8

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.

• Reynaldo P Lazaro, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Oneonta, NY
  • NPI 1679682256

  Single Specialty

  Medicare reassignment NPD
• Kevin C Calyer, RPA

  • Physician Assistant
  • Gloversville, NY
  • NPI 1306814892
  Medicare reassignment
• Russell N.a. Cecil, M.D.,PH.D.

  • Orthopaedic Surgery Physician
  • Amsterdam, NY
  • NPI 1750371308
  Medicare reassignment
• Racquel Monroe, FNP

  • Family Nurse Practitioner
  • Johnstown, NY
  • NPI 1861948150
  Medicare reassignment
• Gerald James Ortiz, M.D.

  • Orthopaedic Surgery Physician
  • Amsterdam, NY
  • NPI 1003805128
  Medicare reassignment
• Karen Taft, RPA

  • Surgical Physician Assistant
  • Albany, NY
  • NPI 1528070596
  Medicare reassignment
• David Tolge, RPA-C

  • Physician Assistant
  • Amsterdam, NY
  • NPI 1518181817
  Medicare reassignment
• Joshua Jon D'Agostino, PA-C

  • Physician Assistant
  • Coudersport, PA
  • NPI 1265001911

  NY

  Medicare reassignment

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1578577417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663",
            "fax_number": "518-842-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663",
            "fax_number": "518-842-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY ORTHOPEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "deactivation_date": "2023-06-06",
        "reactivation_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "CECIL, M.D.",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "N.A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-842-2663"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Mochrie, MST
• Mohawk Monty
• Mohawk Valley Dialysis Center Inc
• Mohawk Valley Medical Anesthesiology Associates, PLLC
• Mohawk Valley Multispecialty Medical Group PLLC
• Mohawk Valley Physical Medicine and Rehab
• Robin H Moller, RN
• Heather Alicia Monge
• Montefiore Medical Center
• Montgomery County Arc (Liberty)

• Specialist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.