Active NPI
Syracuse Gastroenterological Assoc PC
- Gastroenterology Physician
- Liverpool, NY
National Provider Identifier
1326266271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- SYRACUSE GASTROENTEROLOGICAL ASSOC PC
- Practice address
- 8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1654 - Phone
- (315) 234-4818
- Fax
- (315) 234-4807
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark H Kasowitz, M.D
- Title
- President
- Phone
- (315) 234-4818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1654
Mailing address
5000 Campuswood Dr
Suite 200
Syracuse, NY 13210-1746
Phone (315) 234-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440157 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Syracuse Gastroenterological Associatespc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
-
- Gastroenterology Physician
- Hamilton, NY
- NPI 1467538991
Locations
730 Irving Ave
Ste 205
Syracuse, NY 13210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1326266271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CAMPUSWOOD DR",
"address_2": "SUITE 200",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101746",
"telephone_number": "315-234-4818",
"fax_number": "315-234-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 OSWEGO RD",
"address_2": "SUITE 140",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901654",
"telephone_number": "315-234-4818",
"fax_number": "315-234-4807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYRACUSE GASTROENTEROLOGICAL ASSOC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2024-07-09",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "KASOWITZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-234-4818",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440157",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
- Salma K. Syed, M.D.
- Synergy Dental Care
- Syracuse Anesthesia & Pain Management, PLLC
- Syracuse ASC LLC
- Syracuse ASC, LLC
- Syracuse Hematology Oncology PC
- Syracuse Institute for Healing Relationships
- Syracuse Orthopedic Specialists, P.C.
- Syracuse Orthopedic Specialists, PC
- Syracuse Orthopedic Specialists, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.