OCCUPATIONAL MEDICINE ASSOCIATES NPI 1407057839

NPI Information

  • NPI: 1407057839
  • Provider Name: OCCUPATIONAL MEDICINE ASSOCIATES
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 33D2243088
  • Address: 200 MULLIN ST
    #201
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 782-9125

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NPI Details

OCCUPATIONAL MEDICINE ASSOCIATES is an adult medicine family medicine in Watertown, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. OCCUPATIONAL MEDICINE ASSOCIATES NPI is 1407057839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 MULLIN ST
#201
WATERTOWN, NY
ZIP 13601-619
Phone: (315) 782-9125
Fax: (315) 786-1564

The provider's authorized official is Charles Joseph Moehs .
The authorized official title is President and has the following contact phone number (315) 782-9125.

The CLIA number assigned to this NPI record is 33D2243088 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine104750NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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