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MEDICAL WEIGHT LOSS OF NEW YORK, PLLC
NPI 1174940696
Family Medicine - Obesity Medicine in Fayetteville, NY

Active since March 21, 2014CLIA 33D1035571 · Waiver
6800 E GENESEE ST, SUITE 1501, FAYETTEVILLE, NY 13066(315) 391-9390(315) 445-0056 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Weight Loss Of New York, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL WEIGHT LOSS OF NEW YORK, PLLC (NPI 1174940696) is a healthcare organization registered as an obesity medicine in Fayetteville, New York and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Bryan T Wendel, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1174940696
Entity TypeOrganization
Primary Taxonomy207QB0002X
Legal Business NameMEDICAL WEIGHT LOSS OF NEW YORK, PLLC
Location Address6800 E GENESEE ST, SUITE 1501Fayetteville, NY 13066-1089
Mailing Address6800 E Genesee St, Suite 1501Fayetteville, NY 13066-1089 · (315) 391-9390 · Fax (315) 445-0056
Phone(315) 391-9390
Fax(315) 445-0056
Organization SubpartNo
Authorized OfficialBryan T WendelPractice Manager · (315) 445-0003
Enumeration DateMarch 21, 2014
✔ NPI 1174940696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
Definition
A family medicine 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.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
6800 E GENESEE ST, Fayetteville, NY 13066
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1035571

Medical Weight Loss Of Ny PLLC · Fayetteville, NY
Active · expires Jan 4, 2027
CLIA Number33D1035571
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorDr. Wendy M. Scinta
Laboratory Phone(315) 448-0003
Laboratory LocationMedical Weight Loss Of Ny PLLC6800 East Genesee Street, Suite 1501, Fayetteville, NY 13066
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IRVING STERMAN MD
Orthopaedic Surgery
6800 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 474-8595
MR. GEORGE BARRETT PT
Physical Therapist
6800 E GENESEE ST, SUITE A
FAYETTEVILLE, NY 13066
Onondaga County (315) 478-0380
JULIE C CANNIZZO N.P.
Nurse Practitioner (Family)
6800 E GENESEE ST, SUITE 1501
FAYETTEVILLE, NY 13066
Onondaga County (315) 445-0003
REVITALIZE CNY, LLC
Clinic/Center (Medical Specialty)
6800 E GENESEE ST, SUITE 1200
FAYETTEVILLE, NY 13066
Onondaga County (315) 251-1234
JULIE R BERUBE DPT
Physical Therapist
6800 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 635-5000
JESSICA ORALLO MANALANG
Physical Therapist
6800 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 635-5000
SHEILA MCGUIRE NP
Nurse Practitioner (Adult Health)
6800 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 445-0003
DEANNA MARIE DERRENBACKER PT
Physical Therapist
6800 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 635-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Weight Loss Of New York, PLLC's NPI number?

The NPI number for Medical Weight Loss Of New York, PLLC is 1174940696. It was assigned to this organization in the NPPES registry on March 21, 2014.

Where is Medical Weight Loss Of New York, PLLC located?

Medical Weight Loss Of New York, PLLC is located at 6800 E Genesee St Suite 1501, Fayetteville, NY 13066. The listed phone number is (315) 391-9390.

What is Medical Weight Loss Of New York, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Does Medical Weight Loss Of New York, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1035571) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Weight Loss Of New York, PLLC was last updated on March 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.