Chittenango Medical & Wellness Assoc PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CHITTENANGO MEDICAL & WELLNESS ASSOC PC

Doing business as

American Medwell

Practice address

304 Genesee St
Chittenango, NY 13037-1707

Phone

(315) 687-6467

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By 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

Dr. Ifechukwude O Ojugbeli, MDNPI 1710059530

Title

Owner/Ceo

Phone

(315) 687-6467

Specialties & licenses 1

Addresses

Other names 1

• American Medwell Doing business as

Practitioners 1

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.

• Ifechukwude Onyeoba Ojugbeli, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Chittenango, NY
  • NPI 1710059530
  NPD (past) Authorized official

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1972904662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GENESEE ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467",
            "fax_number": "315-251-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GENESEE ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371707",
            "telephone_number": "315-687-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENANGO MEDICAL & WELLNESS ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "OJUGBELI",
        "authorized_official_first_name": "IFECHUKWUDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "315-687-6467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chittenango Center LLC
• Chittenango Central School
• Chittenango Dental
• Chittenango Family Dental, P.C
• Chittenango Medical & Wellness Assoc PC (American Medwell)
• Chittenango Physical Therapy, P.C.
• Suzanne R Cuomo, LPN
• Patricia Marie Damon, RN
• Anne Daprano
• Amanda Elizabeth Davis, LPN

• Physician Assistant in Chittenango, NY
• Providers in Chittenango, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.