Upstate Urology, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UPSTATE UROLOGY, INC.

Practice address

750 E Adams St
Syracuse, NY 13210-2342

Phone

(315) 464-6106

Fax

(315) 464-6117

NPI assigned

Aug 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gennady Bratslavsky, MDNPI 1508093121

Title

Chair

Phone

(315) 464-6106

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gennady Bratslavsky, M.D.

  • Urology Physician
  • Syracuse, NY
  • NPI 1508093121
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Andrew Blakely, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1811123722
  Medicare reassignment Care Compare group NPD
• Mahmoud Chehab, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1093005597
  Medicare reassignment Care Compare group NPD
• Sarah Eanniello, N.P.

  • Family Nurse Practitioner
  • Rome, NY
  • NPI 1508272287
  Medicare reassignment Care Compare group NPD
• Christine Feliu, NP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1205833530
  Medicare reassignment Care Compare group NPD
• Elizabeth Kate Ferry, M.D.

  • Urology Physician
  • Syracuse, NY
  • NPI 1952626004
  Medicare reassignment Care Compare group NPD
• Natasha Ginzburg, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1245530484
  Medicare reassignment Care Compare group NPD
• Michael B Iorga, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1073075883
  Medicare reassignment Care Compare group NPD
• Joseph M Jacob, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1235440090
  Medicare reassignment Care Compare group NPD
• Alain Kaldany, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1477172831
  Medicare reassignment Care Compare group NPD
• Eyal Kord, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1316612609
  Medicare reassignment Care Compare group NPD
• Sergey Kravchick, MD

  • Urology Physician
  • Syracuse, NY
  • NPI 1548789662
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1003062043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-6106",
            "fax_number": "315-464-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-6106",
            "fax_number": "315-464-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE UROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "BRATSLAVSKY",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "315-464-6106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03043809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upstate Medical University
• Upstate Neurosurgery LLP
• Upstate University Hospital
• Upstate University Hospital
• Upstate University Radiation Oncology, Inc.
• Syed Zia Ur Rehman, MD
• David E Urban, RPH
• Christina Urciuoli, FNP
• David Michael Urciuoli, MD
• Dauriani Urena, MHC

• Urology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.