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

Individual provider Internal Medicine Physician · NPI 1780636704

Edmund J Roache, MD is an Internal Medicine in Watertown, New York. Graduated from New York Medical College in 1980, 46 years ago. Practices with Wellness Physician Care PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Trained at
New York Medical College
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Mullin St
Watertown, NY 13601-3619
Phone: (315) 785-8591
Fax: (315) 782-4475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 153941 (NY)

Record details

NPI number1780636704
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESAugust 3, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1980 (46 years in practice)
Group practice Wellness Physician Care Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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