Syracuse University Hospital

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

Legal business name

SYRACUSE UNIVERSITY HOSPITAL

Practice address

116 Bailey Dr
Nedrow, NY 13120-1202

Phone

(315) 498-9272

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Marie Dean

Title

Staff RN

Phone

(315) 857-4521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407072465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BAILEY DR",
            "city": "NEDROW",
            "state": "NY",
            "postal_code": "131201202",
            "telephone_number": "315-498-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BAILEY DR",
            "city": "NEDROW",
            "state": "NY",
            "postal_code": "131201202",
            "telephone_number": "315-498-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "STAFF RN",
        "authorized_official_telephone_number": "315-857-4521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Anne Malone, LPN
• Federica A. Manetti, MD
• Asia M McBride, RN
• Sheila Oliver
• Onondaga Central Schools
• Nadia Wajid Bey-Wright, LMSW

• Critical Care Medicine Registered Nurse in Nedrow, NY
• Providers in Nedrow, NY by specialty
• Critical Care Medicine Registered Nurse in New York

• 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.