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PREVENTIVE MEDICINE ASSOCIATES LLC
NPI 1710099304
Internal Medicine in Camillus, NY

Active since August 31, 2006CLIA 33D0685589 · Accreditation
5415 W GENESEE ST, SUITE 301, CAMILLUS, NY 13031(315) 487-8109(315) 487-5680 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Preventive Medicine Associates Llc NPPES

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

PREVENTIVE MEDICINE ASSOCIATES LLC (NPI 1710099304) is a healthcare organization registered as an internal medicine in Camillus, New York and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Joseph T Barry, Partner, as its authorized official.

NPPES Registry Identity

NPI1710099304
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREVENTIVE MEDICINE ASSOCIATES LLC
Location Address5415 W GENESEE ST, SUITE 301Camillus, NY 13031-2162
Mailing Address5415 W Genesee St, Suite 301Camillus, NY 13031-2162 · (315) 487-8109 · Fax (315) 487-5680
Phone(315) 487-8109
Fax(315) 487-5680
Organization SubpartNo
Authorized OfficialJoseph T BarryPartner · (315) 487-8109
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1710099304 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.
5415 W GENESEE ST, Camillus, NY 13031
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Other Identifiers 2

Medicare ID-Type Unspecified558090ANY
Medicaid01630184NY

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)

Preventive Medicine Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Preventive Medicine Associates LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Judith Garrett, NP
Nurse Practitioner
NPI 1104896703
5415 W GENESEE ST SUITE 301
Camillus, NY 13031
(315) 487-8540
✔ PECOS✔ Accepts MedicareSame address
Joseph Barry, M.D.
Internal Medicine
NPI 1710950365
5415 W GENESEE ST SUITE 301
Camillus, NY 13031
(315) 487-8109
✔ PECOSSame address
Ellen Carey, MS FNP
Nurse Practitioner
NPI 1740382605
5415 W GENESEE ST SUITE 301
Camillus, NY 13031
(315) 487-8109
✔ PECOS✔ Accepts MedicareSame address
Alexander Knudsen, M.D.
Internal Medicine
NPI 1831169416
5415 W GENESEE ST SUITE 301
Camillus, NY 13031
(315) 487-8109
✔ PECOS✔ Accepts MedicareSame address
Lindsey Permell, FNP-C, CCM
Nurse Practitioner
NPI 1831440734
750 E ADAMS ST
Syracuse, NY 13210
(860) 687-5518
✔ PECOS6.9 mi
Nicholas Gilfus, FNP
Nurse Practitioner
NPI 1417311523
247 E MAIN ST
Elbridge, NY 13060
(315) 689-0001
✔ PECOS✔ Accepts Medicare8.1 mi
Andrea Loguidice, NP
Nurse Practitioner
NPI 1952088502
4811 BUCKLEY RD
Liverpool, NY 13088
(315) 457-9966
✔ PECOS✔ Accepts Medicare8.5 mi

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 of Accreditation 33D0685589

Preventive Medicine Associates PLLC · Camillus, NY
Active · expires Dec 22, 2027
CLIA Number33D0685589
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJoseph T. Barry
Laboratory Phone(315) 487-8109
Laboratory LocationPreventive Medicine Associates PLLC5415 W Genesee Street Suite 301, Camillus, NY 13031
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Preventive Medicine Associates LLC's NPI number?

The NPI number for Preventive Medicine Associates LLC is 1710099304. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Preventive Medicine Associates LLC located?

Preventive Medicine Associates LLC is located at 5415 W Genesee St Suite 301, Camillus, NY 13031. The listed phone number is (315) 487-8109.

What is Preventive Medicine Associates LLC's specialty?

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

Is Preventive Medicine Associates LLC enrolled in Medicare?

Yes. Preventive Medicine Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preventive Medicine Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Preventive Medicine Associates LLC. 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Preventive Medicine Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 33D0685589) is associated with this NPI, valid through December 22, 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 Preventive Medicine Associates LLC was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.