NPIMap

Organization Active NPI

Primary Care Metabolic Disorders Medical Practice, PLLC

  • Primary Care Clinic/Center
  • Utica, NY
National Provider Identifier
1942833835
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE METABOLIC DISORDERS MEDICAL PRACTICE, PLLC
Practice address
2305 Genesee St
Utica, NY 13501-6107
Phone
(315) 624-9000
NPI assigned
Feb 19, 2020
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Emile Wassel, MDNPI 1023047552
Title
MD
Phone
(315) 624-9000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2305 Genesee St
Utica, NY 13501-6107

Mailing address

PO Box 612
New Hartford, NY 13413-0612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200507002164 NY Part B Supplier - Clinic/Group Practice 5799116737 Receives reassigned benefits from 7 practitioners
Practice locations: Rome, NY; Utica, NY

National Provider Directory

National Provider Directory

Locations

240 Broad St
Oneida, NY 13421
Phone (315) 363-9214

111 E Chestnut St
Rome, NY 13440
Phone (315) 337-8584

Practitioners & affiliated clinicians

Practitioners 10

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": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1942833835",
    "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": "2305 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016107",
            "telephone_number": "315-624-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE METABOLIC DISORDERS MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "EMILE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-624-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.