Individual provider Active NPI

Rosa Moriah Geremia

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1265292205
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034802 Issued in NY
Practice address
1419 Salt Springs Rd Dept of
Syracuse, NY 13214-1300
Phone
(315) 320-3916
NPI assigned
Mar 19, 2024
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034802 NY Primary

Addresses

Primary practice location

1419 Salt Springs Rd Dept of
Syracuse, NY 13214-1300

Mailing address

739 Irving Ave Ste 600
Syracuse, NY 13210-1663
Phone (315) 701-2550

Other practice location 1

739 Irving Ave
Syracuse, NY 13210-1651
Phone (315) 701-2550

Other practice location 2

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 701-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212003291 NY Practitioner - Physician Assistant 5395225015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

739 Irving Ave
Suite 600
Syracuse, NY 13210-1663
Phone (315) 701-2550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice PLLC CurrentSince Jan 12, 2026 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

739 Irving Ave
Syracuse, NY 13210
Phone (315) 470-2951

739 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 471-0190

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1265292205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101663",
            "telephone_number": "315-701-2550",
            "fax_number": "315-701-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SALT SPRINGS RD DEPT OF",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141300",
            "telephone_number": "315-320-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101651",
            "country_code": "US",
            "telephone_number": "315-701-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-701-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEREMIA",
        "first_name": "ROSA",
        "middle_name": "MORIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.