Individual provider Active NPI

Muno Sheekh Nuur

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1043070659
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
035056 Issued in NY
Practice address
1419 Salt Springs Rd
Syracuse, NY 13214-1300
Phone
(315) 445-4100
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035056 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1419 Salt Springs Rd
Syracuse, NY 13214-1300

Mailing address

Oak St
Syracuse, NY 13203-1249

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
I20251229000030 NY Practitioner - Physician Assistant 9537655634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome Memorial Hospital
Rome, NY 13440-2844
Phone (315) 338-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
035056NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients

Locations

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1043070659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141300",
            "telephone_number": "315-445-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEKH NUUR",
        "first_name": "MUNO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035056",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.