Organization Active NPI

Amanda O Dina

  • Adult Care Home Facility
  • Syracuse, NY
National Provider Identifier
1124357959
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
2978261 Issued in NY
Legal business name
AMANDA O DINA
Practice address
1016 Oak St
Syracuse, NY 13203-1250
Phone
(315) 395-2250
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Ms. Amanda O Dina
Title
LPN
Phone
(315) 952-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 2978261 NY Primary

Addresses

Primary practice location

1016 Oak St
Syracuse, NY 13203-1250

Mailing address

1016 Oak St
Syracuse, NY 13203-1250
Phone (314) 395-2250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1124357959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031250",
            "telephone_number": "314-395-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031250",
            "telephone_number": "315-395-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA O DINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "DINA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "315-952-2250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "2978261",
            "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 Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.