Active NPI
Charles F. Rinn Jr., P.N.P.
- Pediatric Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1417034679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381335
- 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, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F381335 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Irving Pediatrics, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatric Adolescent Medicine Physician
- East Syracuse, NY
- NPI 1063576312
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.