Syracuse Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SYRACUSE COMMUNITY HEALTH CENTER

Practice address

930 S Salina St
Syracuse, NY 13202-3530

Phone

(315) 476-7921

NPI assigned

Jul 2, 2008

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SYRACUSE COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Kerri Warner

Title

Director Revenue Cycle Management

Phone

(315) 476-7921

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184886988. Details of each certification follow.

• CCN 331934 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 331934

Legal name

SYRACUSE COMMUNITY HEALTH CENTER WEEKS ELEMENTARY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 26, 2004

Last certification

Apr 26, 2004

Ownership / control type

For profit – corporation

Facility address

710 Hawley Avenue
Syracuse, NY 13203

Related CCNs

331809

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353

  O20040120000443

  Same enrollment

Part of

Syracuse Community Health Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPPES parent name

Practitioners 91

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.

• Naveed Aman, DMD

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1982654760
  NPD
• Sunny P Aslam, MD

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1912161159
  NPD
• Yola Augustin, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1144282278
  NPD
• Amanda Avery, NP

  • Pediatric Nurse Practitioner
  • Utica, NY
  • NPI 1851528566
  NPD
• Moustafa MK Awayda, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1548250749
  NPD
• Suraiya A Aziz, MD

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1508043746
  NPD
• Ritu Bajaj, OD

  • Optometrist
  • Watertown, NY
  • NPI 1386603983
  NPD
• Danielle Marie Bannigan, LCSW

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1336300565
  NPD
• Dana Christine Beebe, FNP

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1346927936
  NPD
• Caroline Berrios, N.P.

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1679982771
  NPD
• Lauren Carlyle, MD

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1760758858
  NPD
• Katherine Catherwood, FNP

  • Primary Care Nurse Practitioner
  • Syracuse, NY
  • NPI 1962391078
  NPD

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1184886988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S. SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023530",
            "telephone_number": "315-476-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Hawley Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032924",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Oswego St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132042829",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 E Raynor Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132023951",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 S Alvord St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132082720",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Grant Blvd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132082214",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Salt Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132241643",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S Geddes St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132043826",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132042707",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYRACUSE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYRACUSE COMMUNITY HEALTH CENTER",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-06-05",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "315-476-7921"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syracuse City School District
• Syracuse City School District
• Syracuse City School District
• Syracuse City School District
• Syracuse Community Health
• Syracuse Community Health Center, Inc.
• Syracuse Community Health Center, Inc.
• Syracuse Community Health Pharmacy LLC
• Syracuse Community Health Pharmacy LLC
• Syracuse Community Pharmacy

• Federally Qualified Health Center (FQHC) in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.