Active NPI
Women's Wellness Place, PC
- Obstetrics & Gynecology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMEN'S WELLNESS PLACE, PC
- Practice address
- 739 Irving Ave
Suite 300
Syracuse, NY 13210-1640 - Phone
- (315) 478-1158
- Fax
- (315) 478-3014
- NPI assigned
- Nov 20, 2006
- Last updated
- Feb 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chantell Dalpe-Fung, MD
- Title
- Physician
- Phone
- (315) 478-1158
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
739 Irving Ave
Suite 300
Syracuse, NY 13210-1640
Mailing address
739 Irving Ave
Suite 300
Syracuse, NY 13210-1640
Phone (315) 478-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02375359 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0906328 | Women's Wellness Place PC | Compliance | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
5700 W Genesee St
Ste 221
Camillus, NY 13031
Phone (315) 631-3668
739 Irving Ave
Ste 300
Syracuse, NY 13210
Phone (315) 475-8599
739 Irving Ave
Ste 530
Syracuse, NY 13210
Phone (315) 478-1158
739 Irving Ave
Ste 640
Syracuse, NY 13210
Phone (315) 303-5659
Interoperability endpoints
- https://api.platform.athenahealth.com/8865/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1871544643
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1891880423
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1073999769
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1821439043
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1700173507
-
- Gynecology Physician
- Syracuse, NY
- NPI 1417908039
-
- Family Nurse Practitioner
- Syracuse, NY
- NPI 1578257069
-
- Advanced Practice Midwife
- Syracuse, NY
- NPI 1487383154
-
- Obstetrics & Gynecology Physician
- Middletown, NY
- NPI 1619964376
-
- Obstetrics & Gynecology Nurse Practitioner
- Syracuse, NY
- NPI 1851340400
-
- Obstetrics & Gynecology Physician
- Oneida, NY
- NPI 1922256163
-
- Obstetrics & Gynecology Physician
- Paramus, NJ
- NPI 1194727271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361145600000",
"number": "1376617480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 IRVING AVE",
"address_2": "SUITE 300",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101640",
"telephone_number": "315-478-1158",
"fax_number": "315-478-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 IRVING AVE",
"address_2": "SUITE 300",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101640",
"telephone_number": "315-478-1158",
"fax_number": "315-478-3014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S WELLNESS PLACE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2013-02-18",
"status": "A",
"authorized_official_last_name": "DALPE-FUNG",
"authorized_official_first_name": "CHANTELL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "315-478-1158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02375359",
"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 Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.