NPIMap

Organization Active NPI

Pulmonary Health Physicians PC

  • Pulmonary Disease Physician
  • Syracuse, NY
National Provider Identifier
1063450484
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY HEALTH PHYSICIANS PC
Practice address
945 E Genesee St
Suite 200
Syracuse, NY 13210-1752
Phone
(315) 475-8401
Fax
(315) 475-0824
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Melissa Gifford
Title
Billing Manager
Phone
(315) 732-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

945 E Genesee St
Suite 200
Syracuse, NY 13210-1752

Mailing address

945 E Genesee St
Suite 200
Syracuse, NY 13210-1752
Phone (315) 475-8401

Other identifiers 1

IdentifierTypeStateIssuer
00485070MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060811000449 NY Part B Supplier - Clinic/Group Practice 3375430630 Receives reassigned benefits from 9 practitioners
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Locations

546 Towne Dr
Fl 2
Fayetteville, NY 13066
Phone (315) 234-0800

4106 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7010

945 E Genesee St
Ste 200
Syracuse, NY 13210
Phone (315) 475-8401

104 Lafayette Rd
Syracuse, NY 13205
Phone (315) 475-8401

406 Butternut St
Syracuse, NY 13208
Phone (315) 474-8851

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1063450484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401",
            "fax_number": "315-475-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401",
            "fax_number": "315-475-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HEALTH PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "315-732-9368"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00485070",
            "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 Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.