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EDMUND J ROACHE MD
NPI 1245265321
Internal Medicine in Watertown, NY

Active since July 11, 2006
200 MULLIN STREET, SUITE 201, WATERTOWN, NY 13601(315) 785-8591(315) 785-8591 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edmund J Roache Md NPPES

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

EDMUND J ROACHE MD (NPI 1245265321) is a healthcare organization registered as an internal medicine in Watertown, New York and active in the NPI registry since July 2006. The organization lists Edmund J Roache, Owner, as its authorized official.

NPPES Registry Identity

NPI1245265321
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDMUND J ROACHE MD
Location Address200 MULLIN STREET, SUITE 201Watertown, NY 13601
Mailing Address200 Mullin Street, Suite 201Watertown, NY 13601 · (315) 785-8591 · Fax (315) 785-8591
Phone(315) 785-8591
Fax(315) 785-8591
Organization SubpartNo
Authorized OfficialEdmund J RoacheOwner · (315) 782-4475
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245265321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 153941
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MULLIN STREET, Watertown, NY 13601
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Other Identifiers 1

Medicaid00772743NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Edmund J Roache MD's NPI number?

The NPI number for Edmund J Roache MD is 1245265321. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Edmund J Roache MD located?

Edmund J Roache MD is located at 200 Mullin Street Suite 201, Watertown, NY 13601. The listed phone number is (315) 785-8591.

What is Edmund J Roache MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Edmund J Roache MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.