Adirondack Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADIRONDACK MEDICAL CENTER

Practice address

114 Wawbeek Ave
Tupper Lake, NY 12986-2038

Phone

(518) 359-3355

Fax

(518) 359-9055

NPI assigned

Aug 9, 2006

Last updated

Jul 19, 2019By 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

Robert J Laba

Title

Cfo

Phone

(518) 897-2301

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Joanne Wilson Cichetti, MD

  • Internal Medicine Physician
  • Massena, NY
  • NPI 1578578977
  NPD (past)
• Neil Joseph Cichetti, MD

  • Internal Medicine Physician
  • Massena, NY
  • NPI 1588679989
  NPD (past)
• Mario Francis Tagliagambe Jr., M.D.

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1407906969
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1780694059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WAWBEEK AVE",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129862038",
            "telephone_number": "518-359-3355",
            "fax_number": "518-359-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WAWBEEK AVE",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129862038",
            "telephone_number": "518-359-3355",
            "fax_number": "518-359-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "LABA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-897-2301"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Medical Center (Adirondack Medical Center Dialysis)
• Adirondack Medical Center
• Adirondack Social Work Services PC (Healing Woods Counseling Center)
• Michael Christopher Ayotte
• Darrell Barber, R.PH
• Rodney G Bashant, PHARMACIST
• Stacie Beccaria, M.S. SPED

• Skilled Nursing Facility in Tupper Lake, NY
• Providers in Tupper Lake, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.