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OCCUPATIONAL MEDICINE ASSOCIATES
NPI 1407057839
Family Medicine - Adult Medicine in Watertown, NY

Active since May 31, 2007CLIA 33D2243088 · Waiver
200 MULLIN ST, #201, WATERTOWN, NY 13601(315) 782-9125(315) 786-1564 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Occupational Medicine Associates NPPES

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

OCCUPATIONAL MEDICINE ASSOCIATES (NPI 1407057839) is a healthcare organization registered as an adult medicine in Watertown, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Charles Joseph Moehs, President, as its authorized official.

NPPES Registry Identity

NPI1407057839
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameOCCUPATIONAL MEDICINE ASSOCIATES
Location Address200 MULLIN ST, #201Watertown, NY 13601-3619
Mailing Address200 Mullin St, #201Watertown, NY 13601-3619 · (315) 782-9125 · Fax (315) 786-1564
Phone(315) 782-9125
Fax(315) 786-1564
Organization SubpartNo
Authorized OfficialCharles Joseph MoehsPresident · (315) 782-9125
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407057839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 104750
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

200 MULLIN ST, Watertown, NY 13601
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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 33D2243088

Occupational Medicine Associates Of Northern New York PC · Watertown, NY
Active · expires Nov 15, 2027
CLIA Number33D2243088
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorMs. Chelsea S. Lockerbie
Laboratory Phone(315) 782-9125
Laboratory LocationOccupational Medicine Associates Of Northern New York PC18545 Us Rt 11, Watertown, NY 13601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EDMUND J ROACHE M.D.
Internal Medicine
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 785-8591
MICHELLE LYNN NITSCHKE
Counselor (Mental Health)
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 782-4483
EDMUND JOSEPH ROACHE, M.D.
Internal Medicine
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 785-8591

Frequently Asked Questions

What is OCCUPATIONAL MEDICINE ASSOCIATES's NPI number?

The NPI number assigned to this healthcare provider is 1407057839, enumerated as an "organization" on May 31, 2007.

Where is the provider located?

The provider is located at 200 MULLIN ST #201 WATERTOWN, NY 13601 and the phone number is (315) 782-9125.

What is the provider's specialty?

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.