Active NPI
Patricia J Szymanowski, ANP
- Urology Physician
- Liverpool, NY
National Provider Identifier
1033185251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 322301
- Practice address
- 5100 W Taft Rd
Suite 4-D
Liverpool, NY 13088 - Phone
- (315) 458-6669
- Fax
- (315) 458-0819
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 322301 | NY | Primary |
Addresses
Primary practice location
5100 W Taft Rd
Suite 4-D
Liverpool, NY 13088
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300118 | 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322301 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Urology Associates | Urology | Past | Accepting new patients |
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.
-
- Urology Physician
- Syracuse, NY
- NPI 1154368629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1033185251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"address_2": "SUITE 4-D",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-458-6669",
"fax_number": "315-458-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZYMANOWSKI",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "322301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02300118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
- Syracuse Orthopedic Specialists, P.C.
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PLLC
- Suzanne Miller Taddeo, RDN
- Abigail Tamul, LCSW
- Emily Suzanne Tanner, PA-C
- Israt Tanny
- Brian Tarolli, MASSAGE THERAPY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.