Matthew J Vandemortel (NPI# 1962996520, PAC ID# 1052660099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1962996520 |
PAC ID by PECOS | 1052660099 |
Professional Enrollment ID | I20180823002587 |
Full Name | Matthew J Vandemortel |
Organization Legal Name | CENTRAL NEW YORK CARDIOLOGY, PC |
Address |
2211 Genesee St Utica NY 13501-5930 |
Phone Number | 3157337598 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 3375530769 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330245 | ST ELIZABETH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2211 Genesee St, Utica, NY 13501-5930 | 3157337598 | CENTRAL NEW YORK CARDIOLOGY, PC |
Organization Legal Name | CENTRAL NEW YORK CARDIOLOGY, PC |
Physicians | 23 |
Name | Specialty | Organization | Address |
---|---|---|---|
Saba Ilyas | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Mark E Blaker | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
Kathleen A Marollo | Nurse Practitioner | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
Thor T Markwood | Cardiac Electrophysiology | Central New York Cardiology, PC | 7785 N State St, Lowville, NY 13367-1229 |
Prabhat K Varma | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
Brian J Gaffney | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
Thomas C Mathew | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Gerry A Love | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
Amy B Haver | Nurse Practitioner | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Rakesh M Bhan | Internal Medicine | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Street Address |
2211 GENESEE ST |
City | UTICA |
State | NY |
Zip | 13501-5930 |
Name | Specialty | Organization | Address |
---|---|---|---|
Saba Ilyas | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Thomas C Mathew | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Amy B Haver | Nurse Practitioner | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Rakesh M Bhan | Internal Medicine | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Benjamin B Johnson | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Michael W Kelberman | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Laurie M Allgaier | Nurse Practitioner | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Erin Wellenstein Smith | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Amanda J Baker | Nurse Practitioner | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elif N Erim | Geriatric Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
Kevin Mccormick | Family Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
Florin G Olteanu | Internal Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
Karen Dziok | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Patricia A Roach | Nurse Practitioner | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Gordan B Dunham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Lora A Abraham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Jayaraju P Raju | Psychiatry | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Annette L Edwards | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Wallis E Patulski | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
Find all physicians in zip 13501 |
City | UTICA |
Zip Code | 13501 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | UTICA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matthew J Vandemortel.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.