NPIMap

Organization Active NPI

Independent Physicians Urgent Care PLLC

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1689615395
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
093023 Issued in NY
Legal business name
INDEPENDENT PHYSICIANS URGENT CARE PLLC
Practice address
1904 Genesee St
Utica, NY 13502-5662
Phone
(315) 793-8856
Fax
(315) 793-8307
NPI assigned
Jun 10, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Domenic P Aiello, M.D.NPI 1679547111
Title
Owner
Phone
(315) 793-8856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 093023 NY Primary
Family Medicine Physician 207Q00000X 140042 NY
Internal Medicine Physician 207R00000X 157472 NY
Internal Medicine Physician 207R00000X 171805 NY

Addresses

Primary practice location

1904 Genesee St
Utica, NY 13502-5662

Mailing address

PO Box 8150
Utica, NY 13505-8150
Phone (315) 793-8856

Other identifiers 1

IdentifierTypeStateIssuer
02194645MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1689615395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8150",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135058150",
            "telephone_number": "315-793-8856",
            "fax_number": "315-793-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025662",
            "telephone_number": "315-793-8856",
            "fax_number": "315-793-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICIANS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-793-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "093023",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "140042",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "157472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02194645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.