Active NPI
Mary Josephine Dunbar, M.D.
- Pediatrics Physician
- North Syracuse, NY
National Provider Identifier
1063401602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 145052
- Practice address
- 7270 Buckley Rd
North Syracuse, NY 13212-2649 - Phone
- (315) 458-6601
- Fax
- (315) 458-7940
- NPI assigned
- Oct 17, 2005
- Last updated
- Apr 7, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 145052 | NY | Primary |
Addresses
Primary practice location
7270 Buckley Rd
North Syracuse, NY 13212-2649
Mailing address
7270 Buckley Rd
North Syracuse, NY 13212-2649
Phone (315) 458-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00595482 | 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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckley Road Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
| Jones Medical PLLC | Pediatrics | Past | Accepting new patients |
| Engage PT OT and SLP | Past | Accepting new patients | |
| Genesee Valley Group Health Association | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- North Syracuse, NY
- NPI 1669535548
-
- Physical Therapist
- Syracuse, NY
- NPI 1841813805
-
dba Lifetime Health Medical Group
- Clinic Pharmacy
- Rochester, NY
- NPI 1962591875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1063401602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7270 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132122649",
"telephone_number": "315-458-6601",
"fax_number": "315-458-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7270 BUCKLEY RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132122649",
"telephone_number": "315-458-6601",
"fax_number": "315-458-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR",
"first_name": "MARY",
"middle_name": "JOSEPHINE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "145052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00595482",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.