Active NPI
Akram Saeed Al-Theblah, MS,RN,FNP
- Family Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1356629620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336837-1
- Practice address
- 750 E Adams St
Upstate University Hospital
Syracuse, NY 13210 - Phone
- (315) 424-7726
- NPI assigned
- Aug 3, 2011
- Last updated
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336837-1 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Upstate University Hospital
Syracuse, NY 13210
Mailing address
110 Steuben St
Syracuse, NY 13208-2004
Phone (315) 424-7726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F-336837-1 | Other | NY | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336837-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1356629620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 STEUBEN ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132082004",
"telephone_number": "315-424-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE UNIVERSITY HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-424-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-THEBLAH",
"first_name": "AKRAM",
"middle_name": "SAEED",
"name_prefix": "Mr.",
"credential": "MS,RN,FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336837-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "F-336837-1",
"state": "NY"
}
],
"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 Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.