Organization Active NPI

North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
National Provider Identifier
1972563070
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH MEDICAL PC
Practice address
5100 W Taft Rd
(One of 9 Dba's for Corporation)
Liverpool, NY 13088-3807
Phone
(315) 452-2829
Fax
(315) 452-2870
NPI assigned
Mar 24, 2006
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Ajohn Merola, M.D.NPI 1811957780
Title
President
Phone
(315) 452-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NY
Family Medicine Physician 207Q00000X NY Primary
Internal Medicine Physician 207R00000X NU
Obstetrics & Gynecology Physician 207V00000X NY
Orthopaedic Surgery Physician 207X00000X NY

Addresses

Primary practice location

5100 W Taft Rd
(One of 9 Dba's for Corporation)
Liverpool, NY 13088-3807

Mailing address

5112 W Taft Rd
Suite L
Liverpool, NY 13088-4868
Phone (315) 452-2501

Other identifiers 1

IdentifierTypeStateIssuer
1972563070OtherNYNPI CORPORATE NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0165720North Medical Laboratory Liverpool5100 West Taft Road, Suite 1V, Liverpool, NY 13088ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

5100 W Taft Rd
#One
Liverpool, NY 13088
Phone (315) 452-2829

5100 W Taft Rd
Ste 1F
Liverpool, NY 13088
Phone (315) 458-6111

5100 W Taft Rd
Ste 1G
Liverpool, NY 13088
Phone (315) 452-2829

5100 W Taft Rd
Ste 1P
Liverpool, NY 13088
Phone (315) 452-2829

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 2U
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 2W
Liverpool, NY 13088
Phone (315) 452-2829

5100 W Taft Rd
Ste 2Y
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171

5110W Taft Rd 3G
Liverpool, NY 13088
Phone (315) 452-2968

5112 W Taft Rd
Ste L
Liverpool, NY 13088

Practitioners & affiliated clinicians

Practitioners 749

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.

View all 749

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1972563070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE L",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-2501",
            "fax_number": "315-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "(ONE OF 9 DBA'S FOR CORPORATION)",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2829",
            "fax_number": "315-452-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "MEROLA",
        "authorized_official_first_name": "AJOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-452-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATE NUMBER",
            "identifier": "1972563070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.