Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amidon Medical Group PLLC

Organization General Practice Physician · NPI 1053735886

Amidon Medical Group PLLC is a General Practice Physician in New Hartford, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone: (315) 507-5081
Fax: (315) 738-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 192498 (NY)

Record details

NPI number1053735886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Amidon — Managing Member · (315) 507-5081
NPI enumeratedFebruary 14, 2014
Last updated in NPPESMarch 1, 2019
Mailing address2 Ellinwood Dr, New Hartford, NY 13413-1102

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