Active NPI
Sunder M Iqbal MD PC
- Cardiovascular Disease Physician
- North Syracuse, NY
National Provider Identifier
1215002910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1053671
- Legal business name
- SUNDER M IQBAL MD PC
- Practice address
- 5606 Bear Road
North Syracuse, NY 13212-1648 - Phone
- (315) 458-0582
- Fax
- (315) 458-5390
- NPI assigned
- Nov 21, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Sunder Masih Iqbal, MD
- Title
- President
- Phone
- (315) 458-0582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 1053671 | NY | Primary |
Addresses
Primary practice location
5606 Bear Road
North Syracuse, NY 13212-1648
Mailing address
5606 Bear Road
North Syracuse, NY 13212-1648
Phone (315) 458-0582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00448279 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215002910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 BEAR ROAD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121648",
"telephone_number": "315-458-0582",
"fax_number": "315-458-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 BEAR ROAD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121648",
"telephone_number": "315-458-0582",
"fax_number": "315-458-5390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDER M IQBAL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "SUNDER",
"authorized_official_middle_name": "MASIH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-458-0582",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "1053671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00448279",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
- Cynthia Ann Steinem, MD
- Caitlin Elena Stiglmeier, MD
- Jaclyn Suzanne Storto, MS SPEC ED CF-SLP
- Suburban Health Services Inc (Suburban Health Service Phcy)
- Johanna Xia Sulesky, PHARMD
- Ramakumar Suryadevara, D.D.S.
- Gregory Brendon Sweeney, D.D.S.
- Lauren Sweeney, M.S., OTR/L
- Timothy Patrick Sweet, D.M.D.
- Krista Switzer, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.