Jennifer Dawn Stanger, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

277238 Issued in NY

Practice address

725 Irving Avenue
Suite 401
Syracuse, NY 13210

Phone

(315) 464-2878

Fax

(315) 464-2879

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstanger41179@direct.upstate.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Surgical Associates, LLP

  • Surgery Physician
  • Syracuse, NY
  • NPI 1376590117

  Pediatric Surgery

  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1366840787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVENUE",
            "address_2": "SUITE 401",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-2878",
            "fax_number": "315-464-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVENUE",
            "address_2": "SUITE 401",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-2878",
            "fax_number": "315-464-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGER",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "277238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Stallcup
• Brian Edward Stalnaker, PT, DPT
• Nicole Manolescu Stalnaker, M.S., OTR/L
• Julia Standish, RDN, CDN
• Dirk Alan Stanfield, MD
• Angel S Stanley, PMHNP-BC
• George L Stanley, MD
• Qwanes D Stanley
• Jeffrey Brian Stannard, DDS
• Lisa Stansbury

• Pediatric Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.