IndividualActive
Edward Mock, C.M.A.
NPI 1053724542 · Nurse's Aide · Fulton, NY
Provider details
- NPI number
- 1053724542
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- C.M.A.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
98 N 2nd St
Suite 100
Fulton, NY 13069-1254
Phone: (315) 326-3555
Street-level locationGet directions
Mailing address
6207 Diffin Rd
Cicero, NY 13039-9399
Registry dates
- Enumerated
- 2014-06-03
- Last updated
- 2014-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.