Upstate University Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

NOT YET LICENSED

Legal business name

UPSTATE UNIVERSITY HOSPITAL

Practice address

750 E Adams St
Syracuse, NY 13210-2342

Phone

(315) 464-5800

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Randa Khairallah

Title

Private Physician

Phone

(315) 464-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1154584688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S MAIN ST APT 246",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123050",
            "telephone_number": "315-450-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KHAIRALLAH",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "PRIVATE PHYSICIAN",
        "authorized_official_telephone_number": "315-464-5800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": "NOT YET LICENSED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Medical Professionals, PC
• Upstate Medical University
• Upstate Medical University
• Upstate Medical University
• Upstate Neurosurgery LLP
• Upstate University Hospital
• Upstate University Radiation Oncology, Inc.
• Upstate Urology, Inc.
• Syed Zia Ur Rehman, MD
• David E Urban, RPH

• All providers in Syracuse, NY
• Children's Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.