Syracuse ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3331212R Issued in NY

Legal business name

SYRACUSE ASC, LLC

Practice address

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6666

Phone

(315) 451-6911

Fax

(315) 451-1540

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Rowena Ilag-Ferguson

Title

Administrator

Phone

(315) 451-6911

Specialties & licenses 1

Addresses

Other names 1

• Specialty Surgery Center of CNY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Syracuse ASC LLC

  • Anesthesiology Physician
  • Liverpool, NY
  • NPI 1790591576

  2062586001

  Same PAC ID

Listed as

Speciality Surgery Center of CnyCCN 33C0001045

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Syracuse ASC LLC

  • Anesthesiology Physician
  • Liverpool, NY
  • NPI 1790591576
  NPPES parent name

Practitioners 2

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

• Justin Michael Dexter, MD

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1336309723
  NPD (past)
• Nita Saini, O.D.

  • Optometrist
  • Anderson, SC
  • NPI 1164499042
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1265488563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GREENFIELD PKWY",
            "address_2": "SUITE 105",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886666",
            "telephone_number": "315-451-6911",
            "fax_number": "315-451-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GREENFIELD PKWY",
            "address_2": "SUITE 105",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886666",
            "telephone_number": "315-451-6911",
            "fax_number": "315-451-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "ILAG-FERGUSON",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-451-6911"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "3331212R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Surgery Center of CNY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Specialty Surgery Center of CNY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Sweeney, CASAC
• Salma K. Syed, M.D.
• Synergy Dental Care
• Syracuse Anesthesia & Pain Management, PLLC
• Syracuse ASC LLC
• Syracuse Gastroenterological Assoc PC
• Syracuse Hematology Oncology PC
• Syracuse Institute for Healing Relationships
• Syracuse Orthopedic Specialists, P.C.
• Syracuse Orthopedic Specialists, PC

• All providers in Liverpool, NY
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.