Active NPI
Rose A Giammarco, MD
- Nephrology Physician
- Syracuse, NY
National Provider Identifier
1386689693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 133595
- Practice address
- 90 Presidential PLZ
Firm C - Nephrology
Syracuse, NY 13202-2240 - Phone
- (315) 464-3834
- Fax
- (315) 464-3837
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 133595 | NY | Primary |
Addresses
Primary practice location
90 Presidential PLZ
Firm C - Nephrology
Syracuse, NY 13202-2240
Mailing address
90 Presidential PLZ
Firm C - Nephrology
Syracuse, NY 13202-2240
Phone (315) 464-3834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00462708 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133595 | NY | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1386689693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "FIRM C - NEPHROLOGY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-3834",
"fax_number": "315-464-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "FIRM C - NEPHROLOGY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-3834",
"fax_number": "315-464-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMMARCO",
"first_name": "ROSE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "133595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00462708",
"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 Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.