NPIMap

Individual provider Active NPI

Lawrence S Chin, M.D.

  • Neurological Surgery Physician
  • Syracuse, NY
National Provider Identifier
1023043114
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
261941 Issued in NY
Practice address
725 Irving Ave
Ste. 503
Syracuse, NY 13210-1603
Phone
(315) 464-4470
Fax
(315) 464-5520
NPI assigned
Jul 11, 2006
Last updated
Oct 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 228001 MA
Neurological Surgery Physician 207T00000X 261941 NY Primary

Addresses

Primary practice location

725 Irving Ave
Ste. 503
Syracuse, NY 13210-1603

Mailing address

725 Irving Ave
Ste. 503
Syracuse, NY 13210-1603
Phone (315) 464-4470

Other identifiers 1

IdentifierTypeStateIssuer
03374765MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000134 NY Practitioner - Neurosurgery 0749389526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Neurosurgery LLPGroup PAC ID 0042271520, 15 clinicians

Practice addresses (Care Compare)

208 Township Blvd
Suite 200
Camillus, NY 13031-1789
Phone (315) 551-6000

90 Presidential PLZ
Syracuse, NY 13202-2240
Phone (315) 464-4470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261941NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Apr 1, 2019 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Neurosurgical Associates of Central New York, LLP CurrentSince Aug 1, 2011 Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 1, 2019 Accepting new patients
Upstate Neurosurgery LLP Neurological Surgery CurrentSince Aug 1, 2011 Accepting new patients
Boston University Neurosurgical Associates, Inc. Neurological Surgery PastSince Aug 1, 2016 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients
University of Maryland Neurosurgery Associates P a Neurological Surgery PastSince Dec 1, 1996 Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

4900 Broad Rd
Ste 1352
Syracuse, NY 13215
Phone (315) 464-4470

725 Irving Ave
Ste 503
Syracuse, NY 13210
Phone (315) 464-4470

Interoperability endpoints

  • Direct secure messaging: lchin6801@direct.upstate.edu

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1023043114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "STE. 503",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-4470",
            "fax_number": "315-464-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "STE. 503",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-4470",
            "fax_number": "315-464-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "228001",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "261941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.