Organization Active NPI

Internist Associates of Central New York PC

  • Durable Medical Equipment & Medical Supplies
  • Syracuse, NY
National Provider Identifier
1356407993
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTERNIST ASSOCIATES OF CENTRAL NEW YORK PC
Practice address
739 Irving Ave Ste 200
Syracuse, NY 13210-1668
Phone
(315) 479-5070
Fax
(315) 701-2520
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Mary M Oonk
Title
HR Manager
Phone
(315) 479-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

739 Irving Ave Ste 200
Syracuse, NY 13210-1668

Mailing address

739 Irving Ave Ste 200
Syracuse, NY 13210-1668
Phone (315) 479-5070

Other identifiers 1

IdentifierTypeStateIssuer
1041610001OtherDMEPOS

National Provider Directory

National Provider Directory

Locations

739 Irving Ave
Ste 350
Syracuse, NY 13210
Phone (315) 479-5070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1356407993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101668",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101668",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNIST ASSOCIATES OF CENTRAL NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "OONK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "315-479-5070"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "1041610001",
            "state": null
        }
    ],
    "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 May 13, 2010; 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.