Active NPI
Anthony F Cerminaro, NP
- Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1013940931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 330573
- Practice address
- 1000 E Genesee St
Suite 403
Syracuse, NY 13210-1892 - Phone
- (315) 464-8200
- Fax
- (315) 464-8206
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 330573 | NY | Primary |
Addresses
Primary practice location
1000 E Genesee St
Suite 403
Syracuse, NY 13210-1892
Mailing address
1000 E Genesee St
Suite 403
Syracuse, NY 13210-1892
Phone (315) 464-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02558170 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330573 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Past | Accepting new patients |
Interoperability endpoints
- acerminaro7165@direct.upstate.edu
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1013940931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 403",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-464-8200",
"fax_number": "315-464-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST",
"address_2": "SUITE 403",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101892",
"telephone_number": "315-464-8200",
"fax_number": "315-464-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMINARO",
"first_name": "ANTHONY",
"middle_name": "F",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "330573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02558170",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.