Organization Active NPI

Medical Services of Syracuse

  • Neurology Physician
  • Syracuse, NY
National Provider Identifier
1184050973
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
256216 Issued in NY
Legal business name
MEDICAL SERVICES OF SYRACUSE
Practice address
183 Intrepid LN
Syracuse, NY 13205-2548
Phone
(315) 498-5430
NPI assigned
Sep 24, 2013
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Ijaz Rashid, MDNPI 1003138058
Title
Sole Provider
Phone
(913) 669-0576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 256216 NY Primary

Addresses

Primary practice location

183 Intrepid LN
Syracuse, NY 13205-2548

Mailing address

183 Intrepid LN
Syracuse, NY 13205-2548
Phone (315) 498-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929000169 NY Part B Supplier - Sports Medicine 0547480485 Receives reassigned benefits from 5 practitioners
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

183 Intrepid Ln
Syracuse, NY 13205
Phone (315) 251-0401

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1184050973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-498-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-498-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF SYRACUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "913-669-0576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "256216",
            "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 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.