Individual provider Active NPI

Charles F. Rinn Jr., P.N.P.

  • Pediatric Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1417034679
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381335 Issued in NY
Practice address
475 Irving Ave Ste 210
Syracuse, NY 13210-1529
Phone
(315) 471-2646
Fax
(315) 471-1762
NPI assigned
Nov 1, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381335 NY Primary

Addresses

Primary practice location

475 Irving Ave Ste 210
Syracuse, NY 13210-1529

Mailing address

475 Irving Ave Ste 210
Syracuse, NY 13210-1529
Phone (315) 436-4667

Other practice location 1

6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509
Phone (315) 471-2646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Charles.Rinn.1@3682.direct.athenahealth.com Direct

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F381335NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Irving Pediatrics, PC PastSince Oct 30, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1417034679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101529",
            "telephone_number": "315-436-4667",
            "fax_number": "315-471-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101529",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Towpath Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579509",
            "country_code": "US",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINN",
        "first_name": "CHARLES",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charles.Rinn.1@3682.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "personal EMR address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "475 Irving Ave Ste 210",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132101529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 21, 2024; 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.