Active NPI
Amanda O Dina
- Adult Care Home Facility
- Syracuse, NY
National Provider Identifier
1124357959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 2978261
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.