Jedidiah Liguori Kissane

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

421 Montgomery St Ste 1000a
Syracuse, NY 13202-2982

Phone

(315) 435-3230

NPI assigned

May 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1205493780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DEWITTSHIRE RD S",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142212",
            "telephone_number": "315-559-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST STE 1000A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022982",
            "telephone_number": "315-435-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "JEDIDIAH",
        "middle_name": "LIGUORI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Kirk, PA
• Shania Marie Kirkbride
• Hallie Kirkley
• Patricia Ann Kirshner, NP
• Jeffrey L Kiser, DO
• Christian Richard Kissel
• Beth Ann Kiteveles, LPN
• Krit Kitisin, MD
• Dilip S Kittur, MD
• Smita D. Kittur, MD

• Case Manager/Care Coordinator in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.