NPIMap

Organization Active NPI

Family Medicine Associates of Central New York, P.C.

  • Family Medicine Physician
  • Cicero, NY
National Provider Identifier
1811914567
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES OF CENTRAL NEW YORK, P.C.
Practice address
5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504
Phone
(315) 699-2837
Fax
(315) 752-9506
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
J Kelly Telonis, RN
Title
Office Manager
Phone
(315) 455-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504

Mailing address

5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504
Phone (315) 699-2837

National Provider Directory

National Provider Directory

Locations

5586 Legionnaire Dr
Ste 1
Cicero, NY 13039
Phone (315) 699-2837

4820 W Taft Rd
Ste 205
Liverpool, NY 13088
Phone (315) 455-1297

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1811914567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5586 LEGIONNAIRE DR STE 1",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130393504",
            "telephone_number": "315-699-2837",
            "fax_number": "315-752-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 LEGIONNAIRE DR STE 1",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130393504",
            "telephone_number": "315-699-2837",
            "fax_number": "315-752-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF CENTRAL NEW YORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "TELONIS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-455-7610",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.