Active NPI
Integrated Medicine of Syracuse
- Family Medicine Physician
- Jamesville, NY
National Provider Identifier
1073650248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTEGRATED MEDICINE OF SYRACUSE
- Practice address
- 4583 North St
Jamesville, NY 13078-9461 - Phone
- (315) 378-0071
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 30, 2007
- 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
- David Sussman, D.O.
- Title
- President
- Phone
- (315) 378-0071
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4583 North St
Jamesville, NY 13078-9461
Mailing address
4583 North St
Jamesville, NY 13078-9461
National Provider Directory
National Provider DirectoryLocations
4583 North St
Jamesville, NY 13078
Phone (315) 378-0071
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191110400000",
"number": "1073650248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4583 NORTH ST",
"city": "JAMESVILLE",
"state": "NY",
"postal_code": "130789461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4583 NORTH ST",
"city": "JAMESVILLE",
"state": "NY",
"postal_code": "130789461",
"telephone_number": "315-378-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED MEDICINE OF SYRACUSE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2007-09-30",
"status": "A",
"authorized_official_last_name": "SUSSMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-378-0071",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamesville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.