Individual provider Active NPI

Deborah B Pflugh, NP

  • Adult Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1013016617
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300037 Issued in NY
Practice address
475 Irving Ave
Suite 418
Syracuse, NY 13210-1756
Phone
(315) 426-0190
Fax
(315) 426-0192
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300037 NY Primary

Addresses

Primary practice location

475 Irving Ave
Suite 418
Syracuse, NY 13210-1756

Mailing address

8324 Oswego Rd
Ste B
Liverpool, NY 13090-1086
Phone (315) 426-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000316 NY Practitioner - Nurse Practitioner 7618156191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Liverpool, NY 13088-4841

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F300037NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Sep 1, 2014 Accepting new patients
Syracuse Orthopedic Specialists, PLLC PastSince Aug 16, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190

8324 Oswego Rd
Ste B
Liverpool, NY 13090
Phone (315) 418-4188

8100 Oswego Rd
Ste 105
Liverpool, NY 13090
Phone (315) 637-7900

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

475 Irving Ave
Ste 418
Syracuse, NY 13210
Phone (315) 426-0190

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4814/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1013016617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 OSWEGO RD",
            "address_2": "STE B",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901086",
            "telephone_number": "315-426-0190",
            "fax_number": "315-426-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-426-0190",
            "fax_number": "315-426-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUGH",
        "first_name": "DEBORAH",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.