Individual provider Active NPI

Carol Stoianoff, NP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1063484319
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332695 Issued in NY
Practice address
310 S Crouse Ave
Syracuse, NY 13210-1775
Phone
(315) 422-1513
Fax
(315) 425-1882
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332695 NY Primary

Addresses

Primary practice location

310 S Crouse Ave
Syracuse, NY 13210-1775

Mailing address

310 S Crouse Ave
Syracuse, NY 13210-1775
Phone (315) 422-1513

Other identifiers 1

IdentifierTypeStateIssuer
0250893254MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000684 NY Practitioner - Nurse Practitioner 2668558719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology-Oncology Associates of Cny, PCGroup PAC ID 6709787823, 65 clinicians

Practice addresses (Care Compare)

5008 Brittonfield Pkwy
East Syracuse, NY 13057-9248
Phone (315) 472-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Sep 5, 2017 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Mar 1, 2021 Accepting new patients
North Medical PC Current Accepting new patients
Department of Medicine Medical Service Group CurrentSince Sep 5, 2017 Accepting new patients
Hematology-Oncology Associates of Cny, PC CurrentSince Apr 6, 2026 Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2024 Accepting new patients
Crouse Health Hospital Inc CurrentSince Mar 1, 2021 Accepting new patients
Cny Diagnostic Imaging Associates Past Accepting new patients

Locations

5490 Cobbler Way
Camillus, NY 13031

5008 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 634-5056

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

1000 E Genesee St
Ste 403
Syracuse, NY 13210
Phone (315) 464-2929

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

Interoperability endpoints

  • Direct secure messaging: cstoianoff3763353@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1063484319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S CROUSE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101775",
            "telephone_number": "315-422-1513",
            "fax_number": "315-425-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S CROUSE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101775",
            "telephone_number": "315-422-1513",
            "fax_number": "315-425-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOIANOFF",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250893254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.