Madison Irving Pediatrics, PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MADISON IRVING PEDIATRICS, PC

Practice address

6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509

Phone

(315) 471-2646

Fax

(315) 471-1762

NPI assigned

Dec 21, 2006

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janessa Toole

Title

Practice Manager

Phone

(315) 898-2643

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4

Practitioners 15

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.

• Marissa Nicole Edwards, CPNP-PC

  • Pediatric Nurse Practitioner
  • East Syracuse, NY
  • NPI 1811593775
  NPD
• Tamora I. Gallagher, D.O.

  • Pediatrics Physician
  • East Syracuse, NY
  • NPI 1730275884
  NPD
• Kavita Seth, DO

  • Pediatrics Physician
  • East Syracuse, NY
  • NPI 1467528703
  NPD
• John Sprey, NP

  • Family Nurse Practitioner
  • Camillus, NY
  • NPI 1689283236
  NPD
• Megan Campbell, DO

  • Student in an Organized Health Care Education/Training Program
  • Syracuse, NY
  • NPI 1619355716
  NPD (past)
• Margaret Chao, M.D.

  • Pediatrics Physician
  • East Syracuse, NY
  • NPI 1811048853
  NPD (past)
• Kristina Hingre, MD

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1326087016
  NPD (past)
• Celeste M Madden, MD

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1386601086
  NPD (past)
• Nicholas T Massa, MD

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1801985262
  NPD (past)
• Tracy Massa, MD

  • Pediatrics Physician
  • East Syracuse, NY
  • NPI 1649220153
  NPD (past)
• Victoria V Okhman, NP

  • Pediatric Nurse Practitioner
  • Syracuse, NY
  • NPI 1578086369
  NPD (past)
• Charles F. Rinn Jr., P.N.P.

  • Pediatric Nurse Practitioner
  • Syracuse, NY
  • NPI 1417034679
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1063576312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 235",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 235",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Irving Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101756",
            "country_code": "US",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 N Burdick St Ste 215",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579465",
            "country_code": "US",
            "telephone_number": "315-656-8750",
            "fax_number": "315-656-8493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON IRVING PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "JANESSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-898-2643"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Peter Lyons, PHARMD
• Katherine Mary Lyons, PTA
• Halle P Macknight
• Julie Ann Macmaster, MS. ED.
• Ann Macwan
• Lindsay Mitchell Madom, M.D.
• Magnetic Diagnostic Resources of Central New York, LLP
• M. Christine Mahanna Johnson, MS, CCC/SLP
• Kathleen Susan Mahoney, M.S. ED
• Elizabeth Moore Malcolm, ANP-BC

• Pediatric Adolescent Medicine Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.