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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: August 30, 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.

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
EDMUND J ROACHE M.D.
Internal Medicine
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 785-8591

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 Occupational Medicine Associates's NPI number?

The NPI number for Occupational Medicine Associates is 1407057839. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Occupational Medicine Associates located?

Occupational Medicine Associates is located at 200 Mullin St #201, Watertown, NY 13601. The listed phone number is (315) 782-9125.

What is Occupational Medicine Associates's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Occupational Medicine Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2243088) is associated with this NPI, valid through November 15, 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 Occupational Medicine Associates 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.