Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mohawk Valley Physical Medicine and Rehab

Physical Medicine & Rehabilitation Physician in Amsterdam, NY · enumerated 2006 · authorized official John Fedullo, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720051428

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Registry record

Entity type Organization (Type 2)

Legal business name Mohawk Valley Physical Medicine and Rehab

Practice address 4988 State Highway 30, St. Mary'S Hospital Memorial Campus, Amsterdam, NY, 12010

Phone (518) 841-3481

Fax (518) 841-3481

Enumeration date Feb 12, 2006

Last updated in NPPES Mar 7, 2013

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 197917 (NY) Primary

Authorized official

Name John Fedullo

Title President

Phone (518) 841-3481

Other identifiers

Identifier	Type	State	Issuer
01762629	Medicaid	NY	-
OPPMR 197917-8	Other	NY	WORKMANS COMP
1538364237	Other	NY	INDIVIDUAL NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mohawk Valley Physical Medicine and Rehab located?

The practice location on file with NPPES is in Amsterdam, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Jamshaid Minhas Neurology Physician · Amsterdam, NY NPI 1093707846 Mohawk Valley Multispecialty Medical Group Pllc Neurology Physician · Amsterdam, NY NPI 1184616930 Kevin Lau Diagnostic Radiology Physician · Amsterdam, NY NPI 1336130384 John Ruiz Family Medicine Physician · Amsterdam, NY NPI 1679547970 Barbara Loucks Family Nurse Practitioner · Amsterdam, NY NPI 1205944865 Cheryl Sparks Family Nurse Practitioner · Amsterdam, NY NPI 1184727653 Michael Sheridan Family Medicine Physician · Amsterdam, NY NPI 1902909476 Amsterdam Memorial Hospital Primary Care Clinic/Center · Amsterdam, NY NPI 1386711505

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-07.