NPIMap

Organization Active NPI

Syracuse VA Medical Center

  • General Acute Care Hospital
  • Syracuse, NY
National Provider Identifier
1366469389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5006719 Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

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

Specialties & licenses 1

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

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

National Provider Directory

National Provider Directory
Tax ID family
Buffalo Vamc61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1031 E Fayette St
Syracuse, NY 13210
Phone (315) 732-3431

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.