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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: August 02, 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

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.

Other Providers at the Same Location NPPES 14

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

START PHYSICAL THERAPY AND PHYSICAL THERAPY ASSISTANT, PLLC
Physical Therapist
5415 W GENESEE ST, SUITE 101
CAMILLUS, NY 13031
Onondaga County (315) 487-8278
JUDITH C GARRETT NP
Nurse Practitioner
5415 W GENESEE ST, SUITE 301
CAMILLUS, NY 13031
Onondaga County (315) 487-8540
JENNIFER SUSAN CASTRO NP
Nurse Practitioner
5415 W GENESEE ST, SUITE 301
CAMILLUS, NY 13031
Onondaga County (315) 487-8109
DR. DAVID THOMAS HOPE D.O.
Family Medicine
5415 W GENESEE ST, SUITE 301
CAMILLUS, NY 13031
Onondaga County (315) 487-8109
CYNTHIA M BOUSHIE N.P.
Nurse Practitioner
5415 W GENESEE ST, SUITE 301
CAMILLUS, NY 13031
Onondaga County (315) 487-8109
ZORYANA R BOSAK N.P.
Nurse Practitioner (Family)
5415 W GENESEE ST, SUITE 301
CAMILLUS, NY 13031
Onondaga County (315) 487-8109
THOMAS MICHAEL RIVARD PTA
Physical Therapy Assistant
5415 W GENESEE ST, SUITE 101
CAMILLUS, NY 13031
Onondaga County (315) 487-8278
WESTSIDE PODIATRY CENTER, LLP
Podiatrist (Foot Surgery)
5415 W GENESEE ST, SUITE 203
CAMILLUS, NY 13031
Onondaga County (315) 701-3348

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.

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.