NPIMap

Organization Active NPI

Neonatal Associates of Central New York PC

  • Neonatal-Perinatal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1225253271
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
126383 Issued in NY
Legal business name
NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC
Practice address
736 Irving Ave Ste 9100
Syracuse, NY 13210-1687
Phone
(315) 470-7379
Fax
(315) 470-2923
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mr. Boura'a Bou Aram, MDNPI 1386883569
Title
President
Phone
(315) 470-7379

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)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X 126383 NY Primary

Addresses

Primary practice location

736 Irving Ave Ste 9100
Syracuse, NY 13210-1687

Mailing address

736 Irving Ave Ste 9100
Syracuse, NY 13210-1687
Phone (315) 470-7379

Other identifiers 1

IdentifierTypeStateIssuer
01458566MedicaidNY

National Provider Directory

National Provider Directory

Locations

736 Irving Ave
Rm 9105
Syracuse, NY 13210

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1225253271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE STE 9100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7379",
            "fax_number": "315-470-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE STE 9100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7379",
            "fax_number": "315-470-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATAL ASSOCIATES OF CENTRAL NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "BOU ARAM",
        "authorized_official_first_name": "BOURA'A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-470-7379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "126383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01458566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.