Active NPI
Nayyer Omar, MD
- Anesthesiology Physician
- Utica, NY
National Provider Identifier
1124017132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1381431
- Practice address
- 2209 Genesee St
Utica, NY 13501-5930 - Phone
- (315) 798-9788
- NPI assigned
- Oct 21, 2005
- Last updated
- Oct 26, 2010
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1381431 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Utica, NY 13501-5930
Mailing address
2405 Genesee St
Utica, NY 13501-6214
Phone (315) 798-9788
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00459292 | Medicaid | NY | |
| 11316442 | Other | CAQH | |
| 40426014381 | Other | FIDELIS | |
| 00931237 | Other | MEDICAID | |
| 100050391401 | Other | NY | UHC MEDICAID |
| 10057215 | Other | NY | CDPHP |
| 325114 | Other | MUP | |
| 0040122802 | Other | UNIVERA | |
| 050028123 | Other | PALMETTO | |
| 207045400 | Other | NY | US DEPT LABOR |
| 503914 | Other | NY | UHC |
| 54602A | Other | MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381431 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Anesthesia Associates LLP | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Utica, NY
- NPI 1972605368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1124017132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135016214",
"telephone_number": "315-798-9788",
"fax_number": "315-798-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-798-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAR",
"first_name": "NAYYER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "1381431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00459292",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11316442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "40426014381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "00931237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICAID",
"identifier": "100050391401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10057215",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUP",
"identifier": "325114",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0040122802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "050028123",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT LABOR",
"identifier": "207045400",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "503914",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "54602A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.