Individual provider Active NPI

Charles Scioscia, MD

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
National Provider Identifier
1437243797
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
161668 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1899
Phone
(914) 374-3192
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 161668 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1899

Mailing address

PO Box 468
Hastings on Hudson, NY 10706-0468
Phone (914) 374-3192

Other identifiers 1

IdentifierTypeStateIssuer
01467174MedicaidNY

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
I20071108000412 NY Practitioner - Physical Medicine and Rehabilitation 6406940014 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161668NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Pain & Rehab Medical, P.C. CurrentSince Dec 9, 2023 Accepting new patients
Adirondack Rehabilitation Medicine PLLC Physical Medicine & Rehabilitation CurrentSince May 10, 2024 Accepting new patients
Charles Scioscia Physical Medicine & Rehabilitation CurrentSince Dec 1, 2024 Accepting new patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Dec 1, 2007 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients
Montefiore Medical Center Physical Medicine & Rehabilitation Past Accepting new patients

Locations

5496 E Taft Rd
Ste C
North Syracuse, NY 13212
Phone (315) 251-3232

16 Degrandpre Way
Ste 100
Plattsburgh, NY 12901
Phone (518) 262-0900

17 Main St
Queensbury, NY 12804
Phone (518) 798-0767

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

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

970 N Broadway
Ste 310
Yonkers, NY 10701
Phone (914) 207-1161

970 N Broadway
Ste 305B
Yonkers, NY 10701
Phone (914) 207-1161

Organizations & group practices 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1437243797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107060468",
            "telephone_number": "914-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031899",
            "telephone_number": "914-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOSCIA",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "161668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01467174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.