Individual provider Active NPI

Aaron Garber, MD

  • Emergency Medicine Physician
  • Liverpool, NY
National Provider Identifier
1154383032
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
212664 Issued in NY
Practice address
5100 W Taft Rd
Suite 1C
Liverpool, NY 13088-3807
Phone
(315) 452-2333
Fax
(315) 452-2336
NPI assigned
Apr 5, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 212664 NY Primary
Family Medicine Physician 207Q00000X 212664 NY

Addresses

Primary practice location

5100 W Taft Rd
Suite 1C
Liverpool, NY 13088-3807

Mailing address

5100 W Taft Rd
Suite 1C
Liverpool, NY 13088-3807
Phone (315) 452-2333

Other identifiers 2

IdentifierTypeStateIssuer
000136848OtherNYBLUE SHIELD
02111122MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000838 NY Practitioner - Family Practice 5496723280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212664NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
North Medical PC Emergency Medicine Current Accepting new patients
Family Health Network of Central New York, Inc. Family Medicine Past Accepting new patients
Cayuga Medical Center at Ithaca Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
Cayuga Medical Center at Ithaca Past Accepting new patients

Locations

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171

301 Prospect Ave
Rm 1605
Syracuse, NY 13203

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1154383032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 1C",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2333",
            "fax_number": "315-452-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 1C",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2333",
            "fax_number": "315-452-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBER",
        "first_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "212664",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000136848",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02111122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.