Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

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

Organization subpart

No

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

Authorized official

Name

Michael C. Iannuzzi, MDNPI 1376575597

Title

President and Chairman

Phone

(315) 464-4505

Specialties & licenses 13

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations (25 of 28)

Practitioners 499

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

• Carolyn A'Hearn, NP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1093435554

  NY

  Medicare reassignment Care Compare group NPD
• Oluwakanyinsola Morinsola Adenusi, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1508419490

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Felizen Soto Agno, MD

  • Cardiovascular Disease Physician
  • Liverpool, NY
  • NPI 1619111879

  Cardiovascular Disease, NY

  Medicare reassignment Care Compare group NPD
• Komal Akhtar, M.D.

  • Hematology & Oncology Physician
  • Syracuse, NY
  • NPI 1720460801

  Hematology & Oncology, NY

  Medicare reassignment Care Compare group NPD
• Emily Lazzari Albert, M.D.

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1922262096

  NY

  Medicare reassignment Care Compare group NPD
• Sarah Algie, NP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1972277267

  NY

  Medicare reassignment Care Compare group NPD
• Asad Ali, MBBS

  • Gastroenterology Physician
  • Syracuse, NY
  • NPI 1437454188

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Shehzad Ali, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1578667218

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Ioana G. Amzuta, M.D.

  • Pulmonary Disease Physician
  • Syracuse, NY
  • NPI 1629176144

  Critical Care Medicine, NY

  Medicare reassignment Care Compare group NPD
• Nicholas William Anand, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1720651946

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD
• Maria Aquilino, FNP-C

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1922409135

  NY

  Medicare reassignment Care Compare group NPD
• Laura E Arndt, PA

  • Medical Physician Assistant
  • Syracuse, NY
  • NPI 1578633087

  NY

  Medicare reassignment Care Compare group NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Department of Medicine Medical Service Group
• Department of Medicine MSG
• Department of Medicine MSG
• Department of Medicine MSG
• Department of Veterans Affairs

• All providers in Syracuse, NY
• Internal Medicine Physician in New York

• 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.

Verify at the official NPI Registry.