Active NPI
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in
- Internal Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-4505
- NPI assigned
- May 26, 2006
- Last updated
- Oct 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C. Iannuzzi, MD
- Title
- President and Chairman
- Phone
- (315) 464-4505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations (25 of 31)
21 Nelson St
Auburn, NY 13021
Phone (315) 255-9004
138 E Genesee St
Baldwinsville, NY 13027
Phone (315) 635-2333
138 E Genesee St
Ste 1
Baldwinsville, NY 13027
Phone (315) 720-1305
5700 W Genesee St
Ste 128
Camillus, NY 13031
Phone (315) 488-2372
5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170
5110 W Taft Rd Ste 4J
Liverpool, NY 13088
5112 W Taft Rd
Ste U
Liverpool, NY 13088
Phone (315) 701-2171
140 W 6th St
Ste 110
Oswego, NY 13126
Phone (315) 342-6215
1000 E Genesee St
Fl 5
Syracuse, NY 13210
Phone (315) 464-2929
1000 E Genesee St
Ste 205206
Syracuse, NY 13210
1000 E Genesee St
Ste 400
Syracuse, NY 13210
3229 E Genesee St
Ste 1
Syracuse, NY 13214
Phone (315) 464-5726
4900 Broad Rd
Rm 1374
Syracuse, NY 13215
4900 Broad Rd
Ste 2H
Syracuse, NY 13215
Phone (315) 299-5313
4900 Broad Rd
Ste 4CN
Syracuse, NY 13215
4900 Broad Rd
Ste 4CNORTH
Syracuse, NY 13215
Phone (315) 492-5804
550 Harrison St
Ste 117
Syracuse, NY 13202
Phone (315) 464-6100
725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357
725 E Adams St
#3
Syracuse, NY 13210
725 E Adams St
#3A
Syracuse, NY 13210
725 E Adams St
Fl 3
Syracuse, NY 13210
Phone (315) 464-5533
725 E Adams St
Fl 5
Syracuse, NY 13210
Phone (315) 464-5726
725 Irving Ave
Ste 11
Syracuse, NY 13210
725 Irving Ave
Ste 300
Syracuse, NY 13210
Phone (315) 464-9360
725 Irving Ave
Ste 311
Syracuse, NY 13210
Phone (315) 464-5533
Practitioners & affiliated clinicians
Practitioners 499
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1093435554
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1508419490
-
- Cardiovascular Disease Physician
- Liverpool, NY
- NPI 1619111879
-
- Hematology & Oncology Physician
- Syracuse, NY
- NPI 1720460801
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1922262096
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1972277267
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1578667218
-
- Pulmonary Disease Physician
- Syracuse, NY
- NPI 1629176144
Critical Care Medicine
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1720651946
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1922409135
-
- Medical Physician Assistant
- Syracuse, NY
- NPI 1578633087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1063468239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-4505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "IANNUZZI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT AND CHAIRMAN",
"authorized_official_telephone_number": "315-464-4505",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
- Dental Arts Group
- Jessica Deordio, FNP
- Garrett Michael Depalma, DO
- Department of Medicine
- Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr at Syr in (Infectious Disease Associates)
- Department of Medicine Medical Service Group (University Physicians Infusion Center)
- Department of Medicine MSG (University Internists/Hospitalists)
- Department of Medicine MSG
- Department of Medicine MSG
- Department of Veterans Affairs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.