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SLOCUM DICKSON MEDICAL GROUP PLLC
NPI 1285625996
Clinic/Center in New Hartford, NY

Active since November 02, 2005CLIA Certified · 2 labs
1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1700(315) 798-1707 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Slocum Dickson Medical Group Pllc NPPES

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

SLOCUM DICKSON MEDICAL GROUP PLLC (NPI 1285625996) is a healthcare organization registered as a clinic/center in New Hartford, New York and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates and lists Stephen D. Eadline, President, as its authorized official.

NPPES Registry Identity

NPI1285625996
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSLOCUM DICKSON MEDICAL GROUP PLLC
Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1700 · Fax (315) 798-1707
Phone(315) 798-1700
Fax(315) 798-1707
Organization SubpartNo
Authorized OfficialStephen D. EadlinePresident · (315) 798-1700
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1285625996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 47440
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1729 BURRSTONE RD, New Hartford, NY 13413
Open in Google Maps ↗

Other Identifiers 1

Medicaid02995013NY

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 33D0166962

Slocum-Dickson Medical Group, PLLC · New Hartford, NY
Active · expires Mar 26, 2027
CLIA Number33D0166962
Laboratory TypeIndependent
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorSyed S. Zaman
Laboratory Phone(315) 798-1465
Laboratory LocationSlocum-Dickson Medical Group, PLLC1729 Burrstone Rd, New Hartford, NY 13413
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D0987465

Slocum-Dickson Medical Group PLLC · New Hartford, NY
Active · expires Mar 26, 2027
CLIA Number33D0987465
Laboratory TypeIndependent
Certificate Effective DateJune 5, 2001
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorSyed Zaman
Laboratory Phone(315) 798-1465
Laboratory LocationSlocum-Dickson Medical Group PLLC615 French Road, New Hartford, NY 13413
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

LYNN LUTHERN PA
Physician Assistant (Medical)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1859
AMELA THOMPSON
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1808
MS. KAREN WARNER NP
Nurse Practitioner
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1543
DR. DAYAL DAVIS RAJA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
MELANIE PADMANABHAN FNP
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1551
MICHAEL JOSEPH MCNULTY M.D.
Pain Medicine (Pain Medicine)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1747
DR. GAIL JOHNSON M.D.
Internal Medicine
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
SUZANNE W BUSCHOR PT
Physical Therapist
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700

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 Slocum Dickson Medical Group PLLC's NPI number?

The NPI number for Slocum Dickson Medical Group PLLC is 1285625996. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Slocum Dickson Medical Group PLLC located?

Slocum Dickson Medical Group PLLC is located at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1700.

What is Slocum Dickson Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Slocum Dickson Medical Group PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Slocum Dickson Medical Group PLLC was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.