Individual provider Active NPI

Nasri N Ghaly, MD

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1063479939
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
157465 Issued in NY
Practice address
614 S Salina St
Suite #300
Syracuse, NY 13202-3500
Phone
(315) 425-0599
Fax
(315) 471-6760
NPI assigned
Apr 26, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000402 NY
Psychiatry Physician 2084P0800X 157465 NY Primary

Addresses

Primary practice location

614 S Salina St
Suite #300
Syracuse, NY 13202-3500

Mailing address

614 South Salina Street
Suite #300
Syracuse, NY 13202-3520
Phone (315) 425-0599

Other identifiers 1

IdentifierTypeStateIssuer
00825627MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000578 NY Practitioner - Psychiatry 5395640791 Reassigns benefits to 3 organizations
Practice locations: East Syracuse, NY; Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Hospital Health CenterGroup PAC ID 9234043324, 107 clinicians
Psychiatry Faculty Practice, IncGroup PAC ID 9234458530, 90 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 703-5200

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-3265

614 S Salina St
Suite 300
Syracuse, NY 13202-3520
Phone (315) 425-0599

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000402NYMDBehavioral Analyst
157465NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Oct 1, 2002 Accepting new patients
Upstate Community Medical, PC CurrentSince May 1, 2021 Accepting new patients
Psychiatry Faculty Practice, Inc. Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients
Sleep Insights Medical Associates PLLC PastSince Jan 6, 2016 Accepting new patients
Sleep Insights Medical Services, LLC PastSince Jun 1, 2005 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients
Ghaly Sleep Center PastSince Jan 1, 1990 Accepting new patients
Forensic Consultants LTD Past Accepting new patients

Locations

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
  • Direct secure messaging: nghaly32554@direct.upstate.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1063479939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SOUTH SALINA STREET",
            "address_2": "SUITE #300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023520",
            "telephone_number": "315-425-0599",
            "fax_number": "315-471-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S SALINA ST",
            "address_2": "SUITE #300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023500",
            "telephone_number": "315-425-0599",
            "fax_number": "315-471-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALY",
        "first_name": "NASRI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000402",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "157465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825627",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.