Organization Active NPI

Sunder M Iqbal MD PC

  • Cardiovascular Disease Physician
  • North Syracuse, NY
National Provider Identifier
1215002910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1053671 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00448279MedicaidNY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.