Preventive Medicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREVENTIVE MEDICINE ASSOCIATES LLC

Practice address

5415 W Genesee St
Suite 301
Camillus, NY 13031-2162

Phone

(315) 487-8109

Fax

(315) 487-5680

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph T Barry, MDNPI 1710950365

Title

Partner

Phone

(315) 487-8109

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph T Barry, M.D.

  • Internal Medicine Physician
  • Camillus, NY
  • NPI 1710950365

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Ellen Lynne Carey, MS FNP

  • Family Nurse Practitioner
  • Camillus, NY
  • NPI 1740382605

  NY

  Medicare reassignment Care Compare group NPD
• Judith C Garrett, NP

  • Nurse Practitioner
  • Camillus, NY
  • NPI 1104896703

  NY

  Medicare reassignment Care Compare group NPD
• Nicholas Scot Gilfus, FNP

  • Family Nurse Practitioner
  • Elbridge, NY
  • NPI 1417311523

  NY

  Medicare reassignment Care Compare group NPD
• Alexander Brian Knudsen, M.D.

  • Internal Medicine Physician
  • Camillus, NY
  • NPI 1831169416

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Andrea Loguidice, NP

  • Nurse Practitioner
  • Liverpool, NY
  • NPI 1952088502

  NY

  Medicare reassignment Care Compare group NPD
• Lindsey Permell, FNP-C, CCM

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1831440734

  NY

  Medicare reassignment Care Compare group NPD
• Michelle L Lane

  • Nurse Practitioner
  • Syracuse, NY
  • NPI 1639730690

  NY

  Medicare reassignment NPD
• Terry A Kelley, NP

  • Adult Health Nurse Practitioner
  • Camillus, NY
  • NPI 1730618588
  NPD
• Susan J Linehan, NP

  • Nurse Practitioner
  • Camillus, NY
  • NPI 1821068412
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1710099304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W GENESEE ST",
            "address_2": "SUITE 301",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312162",
            "telephone_number": "315-487-8109",
            "fax_number": "315-487-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W GENESEE ST",
            "address_2": "SUITE 301",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312162",
            "telephone_number": "315-487-8109",
            "fax_number": "315-487-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-487-8109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630184",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatry Services of Central New York, PC
• Timothy Poole, PT
• Nancy Popps, NP
• Mark S Potenza, MD
• Preferred Audiology Care, LLC
• Matthew Procopio, MD
• Professional Counseling Services, Inc
• Psychiatric NP Consultants of Central New York, PLLC
• Dorr Duane Pulver, CASAC
• Melinda M Pyke, L.P.N

• All providers in Camillus, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.