MEDICAL WEIGHT LOSS OF NEW YORK, PLLC (NPI# 1174940696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174940696 |
| Entity Type | Organization |
| Organization Name | MEDICAL WEIGHT LOSS OF NEW YORK, PLLC |
| Practice Address |
6800 E Genesee St Suite 1501 Fayetteville NY 13066-1089 |
| Practice Telephone | 3153919390 |
| Practice Fax Number | 3154450056 |
| Mailing Telephone | 3153919390 |
| Mailing Fax Number | 3154450056 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | BRYAN T WENDEL (PRACTICE MANAGER) |
| Authorized Official Telephone | 3154450003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6800 E GENESEE ST SUITE 1501 |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387130 | Cynthia J Tremblay | Nurse Practitioner | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2005-06-22 |
| 1073076477 | Irving Sterman | Orthopaedic Surgery | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2019-04-11 |
| 1396103438 | Revitalize Cny, LLC | Clinic/Center | 6800 E Genesee St, Suite 1200, Fayetteville, NY 13066-1089 | 2016-02-03 |
| 1235527870 | Julie C Cannizzo | Nurse Practitioner | 6800 E Genesee St, Suite 1501, Fayetteville, NY 13066 | 2015-01-06 |
| 1417356940 | Julie R Berube | Physical Therapist | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2014-08-20 |
| 1982024204 | Syracuse Orthopedic Specialists, PC | Physical Therapist | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2014-04-25 |
| 1518301134 | Sheila Mcguire | Nurse Practitioner | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2013-04-25 |
| 1215980339 | George Barrett | Physical Therapist | 6800 E Genesee St, Suite A, Fayetteville, NY 13066-1089 | 2006-05-18 |
| 1932168358 | Nicola Argese | Physical Therapist | 6800 E Genesee St, Fayetteville, NY 13066-1089 | 2006-03-23 |
| 1790752780 | Robert Cady | Orthopaedic Surgery | 6800 E Genesee St, Suite 1501, Fayetteville, NY 13066-1089 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1033581046 | Westchester Medical Wellness | Family Medicine | 271 Main St, Eastchester, NY 10709 | 2015-10-29 |
| City | FAYETTEVILLE |
| Zip Code | 13066 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.