Individual provider Active NPI

Paula Vecchio, MD

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1952392904
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
156508-1 Issued in NY
Practice address
6 Hampden PL
Utica, NY 13502-5631
Phone
(315) 733-2526
Fax
(315) 733-2846
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 156508-1 NY Primary

Addresses

Primary practice location

6 Hampden PL
Utica, NY 13502-5631

Mailing address

5 Ann St
Mohawk, NY 13407-1103
Phone (315) 866-0040

Other identifiers 1

IdentifierTypeStateIssuer
01114483MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331001159 NY Practitioner - Family Practice 8325174055 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156508-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc Family Medicine CurrentSince May 1, 2016 Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince May 1, 2016 Accepting new patients
Upstate Family Health Center Incorporated CurrentSince Nov 1, 2016 Accepting new patients

Locations

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

1427 Genesee St
Utica, NY 13501
Phone (315) 738-1428

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1952392904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANN ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071103",
            "telephone_number": "315-866-0040",
            "fax_number": "315-866-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAMPDEN PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025631",
            "telephone_number": "315-733-2526",
            "fax_number": "315-733-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIO",
        "first_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "156508-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01114483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.