Active NPI
Jennifer B McCaffrey, FNP
- Family Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1093140956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 320033
- Practice address
- 421 Montgomery Street Room 80
Onondaga County Health Dept. Bureau of Disease Control
Syracuse, NY 13202 - Phone
- (315) 435-3236
- Fax
- (315) 435-3884
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 320033 | NY | Primary |
Addresses
Primary practice location
421 Montgomery Street Room 80
Onondaga County Health Dept. Bureau of Disease Control
Syracuse, NY 13202
Mailing address
421 Montgomery Street Room 80
Onondaga County Health Dept. Bureau of Disease Control
Syracuse, NY 13202
Phone (315) 435-3236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320033 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1093140956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 MONTGOMERY STREET ROOM 80",
"address_2": "ONONDAGA COUNTY HEALTH DEPT. BUREAU OF DISEASE CONTROL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-435-3236",
"fax_number": "315-435-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 MONTGOMERY STREET ROOM 80",
"address_2": "ONONDAGA COUNTY HEALTH DEPT. BUREAU OF DISEASE CONTROL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-435-3236",
"fax_number": "315-435-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "JENNIFER",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "320033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.