NPIMap

Individual provider Active NPI

Jennifer Nicole Taylor, D.O.

  • Diagnostic Radiology Physician
  • Syracuse, NY
National Provider Identifier
1073803458
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
271234 Issued in NY
Practice address
102 Oakridge Cir
Syracuse, NY 13209-1718
Phone
(315) 256-3179
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 271234 NY Primary

Addresses

Primary practice location

102 Oakridge Cir
Syracuse, NY 13209-1718

Mailing address

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 256-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002317 NY Practitioner - Diagnostic Radiology 8729372990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finger Lakes Radiology, LLCGroup PAC ID 9537142450, 4 clinicians
Mammography of the University of RochesterGroup PAC ID 8820151673, 16 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-5399

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-5434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.51 of 100Reported as individual
Quality
43.81
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271234NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Radiology, LLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Medical Imaging Center LLP CurrentSince Sep 4, 2018 Accepting new patients
University Radiology Associates, LLP Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Mammography of the University of Rochester Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients

Locations

37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828

5008 Brittonfield Pkwy
Ste 100
East Syracuse, NY 13057
Phone (315) 234-7613

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

196 North St
Geneva, NY 14456
Phone (315) 787-4156

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

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

725 Irving Ave
Ste 209
Syracuse, NY 13210
Phone (315) 472-4364

Interoperability endpoints

  • Direct secure messaging: jlott569350@direct.urmc.rochester.edu
  • Direct secure messaging: drtaylor@flradiology.medentdirect.com

Organizations & group practices 4

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 8

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1073803458",
    "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": "315-256-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OAKRIDGE CIR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091718",
            "telephone_number": "315-256-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "271234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.