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NORTH COUNTRY ADULT MEDICINE PLLC
NPI 1710052451
Internal Medicine in Massena, NY

Active since November 21, 2006CLIA 33D1017520 · Microscopy
38 HOSPITAL DR, MASSENA, NY 13662(315) 764-1121(315) 764-1972 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Country Adult Medicine Pllc NPPES

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

NORTH COUNTRY ADULT MEDICINE PLLC (NPI 1710052451) is a healthcare organization registered as an internal medicine in Massena, New York and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through September 28, 2027 and lists Ellen M Thomson, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1710052451
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH COUNTRY ADULT MEDICINE PLLC
Location Address38 HOSPITAL DRMassena, NY 13662-1018
Mailing Address38 Hospital DrMassena, NY 13662-1018 · (315) 764-1121 · Fax (315) 764-1972
Phone(315) 764-1121
Fax(315) 764-1972
Organization SubpartNo
Authorized OfficialEllen M ThomsonBilling Specialist · (315) 764-1121
Enumeration DateNovember 21, 2006
Last NPPES UpdateNovember 4, 2009
✔ NPI 1710052451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
38 HOSPITAL DR, Massena, NY 13662
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Other Identifiers 2

Medicare PINAA1721NY
Medicaid02883067NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Country Adult Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Country Adult Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joanne Cichetti, MD
Internal Medicine
NPI 1578578977
38 HOSPITAL DR
Massena, NY 13662
(315) 764-1121
✔ PECOS✔ Accepts MedicareSame address
Neil Cichetti, MD
Internal Medicine
NPI 1588679989
38 HOSPITAL DR NORTH COUNTRY ADULT MEDICINE
Massena, NY 13662
(315) 764-1121
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 33D1017520

North Country Adult Medicine PLLC · Massena, NY
Active · expires Sep 28, 2027
CLIA Number33D1017520
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorNeil J. Cichetti MD
Laboratory Phone(315) 764-1121
Laboratory LocationNorth Country Adult Medicine PLLC38 Hospital Drive, Massena, NY 13662
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 North Country Adult Medicine PLLC's NPI number?

The NPI number for North Country Adult Medicine PLLC is 1710052451. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is North Country Adult Medicine PLLC located?

North Country Adult Medicine PLLC is located at 38 Hospital Dr, Massena, NY 13662. The listed phone number is (315) 764-1121.

What is North Country Adult Medicine PLLC's specialty?

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

Is North Country Adult Medicine PLLC enrolled in Medicare?

Yes. North Country Adult Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Country Adult Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to North Country Adult Medicine PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Country Adult Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1017520) is associated with this NPI, valid through September 28, 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 North Country Adult Medicine PLLC was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.