Chester L Patrick Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NY155428 Issued in NY

Practice address

215 W Thomas St
Rome, NY 13440-5018

Phone

(315) 336-0250

Fax

(315) 336-0919

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chesterpatrickmd@mvmp.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridge Mills Physician Services, PLLC

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1902837321
  NPD (past)
• Sleep Disorders Lab of Central New York, LLC

  • Sleep Specialist (PhD)
  • Utica, NY
  • NPI 1336570589
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1740266519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405018",
            "telephone_number": "315-336-0250",
            "fax_number": "315-336-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CHESTER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY155428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosella Pandolfo
• Regina F Panzone, OD
• Mary Janet Paparella, N.P.
• William K Parkin, LMT
• Michael S Parslow, DO
• Judi Patterson, LPN
• Paul Farino
• Jennifer Paul, RN
• Katie I Peach, REGISTERED NURSE
• Paris L Pearson, LCSW

• Internal Medicine Physician in Rome, NY
• Providers in Rome, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.