Syracuse General Surgery, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SYRACUSE GENERAL SURGERY, PC

Practice address

182 Intrepid LN
Syracuse, NY 13205-2545

Phone

(315) 391-9019

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Atul Maini, MDNPI 1396700985

Title

Owner

Phone

(315) 391-9019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Atul Maini, M.D.

  • Surgery Physician
  • Liverpool, NY
  • NPI 1396700985
  Medicare reassignment Care Compare group NPD Authorized official
• Manu Kannan Arul, MD

  • Surgery Physician
  • Utica, NY
  • NPI 1235636457
  Medicare reassignment Care Compare group NPD
• Vishnudas Panemanglore Pai, MD

  • Surgery Physician
  • Latham, NY
  • NPI 1649218538
  Medicare reassignment NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1285388322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-391-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE GENERAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MAINI",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-391-9019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.