NPIMap

Syracuse VA Medical Center

Organization Active NPI General Acute Care Hospital · Syracuse, NY

NPI 1366469389 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1366469389
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
5006719 (NY)
Legal business name
SYRACUSE VA MEDICAL CENTER
Practice address
1031 E Fayette St
Syracuse, NY 13210-1022
Phone
(315) 425-4400
Fax
(315) 425-4406
NPI assigned
Jul 16, 2006
Organization subpart
No

Authorized official

Name
Mr. Frank Charles Ernenwein, LMSW NPI 1275638538
Title
Coord; HCHV Program
Phone
(315) 425-4400

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 7

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

National Provider Directory

Tax ID family
Buffalo Vamc (61 organizations share this tax ID)

Locations

1031 E Fayette St
Syracuse, NY 13210
Phone (315) 425-4445

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5006719 NY Yes

Addresses

Primary practice location

1031 E Fayette St
Syracuse, NY 13210-1022

Mailing address

1031 E Fayette St
Syracuse, NY 13210-1022
Phone (315) 425-4400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366469389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E FAYETTE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101022",
            "telephone_number": "315-425-4400",
            "fax_number": "315-425-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERNENWEIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "COORD; HCHV PROGRAM",
        "authorized_official_telephone_number": "315-425-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "5006719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

All providers in Syracuse, NY · General Acute Care Hospital in New York

Sources for this page

Verify at the official NPI Registry.