NPIMap

Organization Active NPI

Cny Medical and Surgical Eye Care PC

  • Ophthalmology Physician
  • East Syracuse, NY
National Provider Identifier
1205929288
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
174054-1 Issued in NY
Legal business name
CNY MEDICAL AND SURGICAL EYE CARE PC
Practice address
5770 Commons Park
East Syracuse, NY 13057-9400
Phone
(315) 445-1577
Fax
(315) 445-4862
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Robert Weisenthal, M.D.NPI 1508957507
Title
President
Phone
(315) 445-1577

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV005571-1 NY
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 174054-1 NY Primary

Addresses

Primary practice location

5770 Commons Park
East Syracuse, NY 13057-9400

Mailing address

PO Box 48
De Witt, NY 13214-0048
Phone (315) 445-1577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000844 NY Part B Supplier - Clinic/Group Practice 7012988314 Receives reassigned benefits from 5 practitioners
Practice locations: Camillus, NY; East Syracuse, NY; Dewitt, NY; Central Square, NY

National Provider Directory

National Provider Directory

Locations

5770 Commons Park
East Syracuse, NY 13057
Phone (315) 445-1577

4939 Brittonfield Pkwy
Ste 204
East Syracuse, NY 13057
Phone (315) 432-0555

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1205929288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132140048",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY MEDICAL AND SURGICAL EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "WEISENTHAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-445-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005571-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "174054-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.