Active NPI
Department of Medicine Medical Service Group
- Hematology & Oncology Physician
- Homer, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP
- Practice address
- 82 Copeland Ave
Homer, NY 13077-1528 - Phone
- (607) 749-2640
- Fax
- (607) 749-2644
- NPI assigned
- Dec 6, 2011
- Last updated
- Sep 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Iannuzzi
- Title
- MD
- Phone
- (315) 464-3835
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
82 Copeland Ave
Homer, NY 13077-1528
Mailing address
82 Copeland Ave
Homer, NY 13077-1528
Phone (607) 749-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00459903 | Medicaid | NY |
Other names 1
- University Physicians - Homer
National Provider Directory
National Provider DirectoryLocations
5700 W Genesee St
Ste 128
Camillus, NY 13031
Phone (315) 488-2372
6420 Yorktown Cir
East Syracuse, NY 13057
Phone (315) 432-4488
5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170
603 Seneca St
Ste 2
Oneida, NY 13421
Phone (315) 361-1041
1000 E Genesee St
Ste 205
Syracuse, NY 13210
Phone (315) 464-1600
4900 Broad Rd
Ste 4CNORTH
Syracuse, NY 13215
Phone (315) 492-5804
550 Harrison St
Ste 300
Syracuse, NY 13202
Phone (315) 464-1500
725 Irving Ave
#301
Syracuse, NY 13210
Phone (315) 464-5533
725 Irving Ave
Ste 211
Syracuse, NY 13210
Phone (315) 464-5533
725 Irving Ave
Ste 302
Syracuse, NY 13210
Phone (315) 464-5538
739 Irving Ave
Ste 520
Syracuse, NY 13210
Phone (315) 470-1051
90 Presidential Plz
#5010
Syracuse, NY 13202
Phone (315) 464-9335
90 Presidential Plz
#A
Syracuse, NY 13202
Phone (315) 464-3866
Practitioners & affiliated clinicians
Practitioners 479
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.
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- Internal Medicine Physician
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-
- Cardiovascular Disease Physician
- Liverpool, NY
- NPI 1619111879
-
- Cardiovascular Disease Physician
- Liverpool, NY
- NPI 1871727297
-
- Hematology & Oncology Physician
- Syracuse, NY
- NPI 1720460801
-
- Hospitalist Physician
- Syracuse, NY
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- Hospitalist Physician
- Syracuse, NY
- NPI 1336721091
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- Family Nurse Practitioner
- Syracuse, NY
- NPI 1972277267
-
- Gastroenterology Physician
- Syracuse, NY
- NPI 1437454188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409616000000",
"number": "1205104262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 COPELAND AVE",
"city": "HOMER",
"state": "NY",
"postal_code": "130771528",
"telephone_number": "607-749-2640",
"fax_number": "607-749-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 COPELAND AVE",
"city": "HOMER",
"state": "NY",
"postal_code": "130771528",
"telephone_number": "607-749-2640",
"fax_number": "607-749-2644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF MEDICINE MEDICAL SERVICE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-06",
"last_updated": "2014-09-02",
"status": "A",
"authorized_official_last_name": "IANNUZZI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "315-464-3835"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00459903",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Physicians - Homer",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.