Individual provider Active NPI

Joseph Mora, MD

  • Anesthesiology Physician
  • Syracuse, NY
National Provider Identifier
1386648285
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
215777 Issued in NY
Practice address
4900 Broad Rd
Syracuse, NY 13215-2265
Phone
(315) 492-5522
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 215777 NY
Anesthesiology Physician 207L00000X 215777 NY Primary

Addresses

Primary practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Mailing address

PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041014000653 NY Practitioner - Anesthesiology 5395634612 Reassigns benefits to 2 organizations
Practice locations: Cortland, NY; Utica, NY; Syracuse, NY; Oneida, NY; Liverpool, NY; Geneva, NY; Fulton, NY; East Syracuse, NY…

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Agcny Physicians PLLC Anesthesiology CurrentSince Sep 1, 2011 Accepting new patients
Chag Anesthesia PC Anesthesiology CurrentSince Feb 25, 2001 Accepting new patients
Urology Specialists of Cny, PC Past Accepting new patients
Fulton Family Psychiatry PC PastSince May 14, 2019 Accepting new patients
S J H Cardiac Catheterization Associates PC Past Accepting new patients
Oswego County Urology PC Past Accepting new patients
RJ Anesthesia PLLC Anesthesiology PastSince Nov 18, 2025 Accepting new patients
American Anesthesiology of Syracuse, PC Anesthesiology Past Accepting new patients

Locations

4939 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 463-1600

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

1000 E Genesee St
Ste 500
Syracuse, NY 13210
Phone (315) 471-2713

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

4900 Broad Rd
#2H
Syracuse, NY 13215
Phone (315) 299-5313

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

4900 Broad Rd
Bldg S
Syracuse, NY 13215
Phone (315) 299-5313

195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1386648285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-449-0513",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "215777",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "215777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.