Department of Medicine MSG

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

DEPARTMENT OF MEDICINE MSG

Practice address

140 W 6TH St
Suite 110
Oswego, NY 13126-2525

Phone

(315) 342-6215

Fax

(315) 342-6219

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Michael C. Iannuzzi, MD

Title

President

Phone

(315) 464-4505

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• University Physicians-Oswego Other name

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1174543979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST",
            "address_2": "SUITE 110",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262525",
            "telephone_number": "315-342-6215",
            "fax_number": "315-342-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST",
            "address_2": "SUITE 110",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262525",
            "telephone_number": "315-342-6215",
            "fax_number": "315-342-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MEDICINE MSG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "IANNUZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-464-4505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Physicians-Oswego",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cameron Delmotte
• Kim Deltosta, BA, MS
• Joylin Chan Deluna, MD
• Casey L Demunn, LMHC, MS
• Stephanie Dendtler
• Colby Develder
• Aimee Devinny, RN
• Dennis Dewane, PTA
• Cailee Dewolf
• David Judson Dexter, OD

• Hematology & Oncology Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.