Octaviani Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

197696 Issued in NY

Legal business name

OCTAVIANI MEDICINE PC

Practice address

1223 N Salina St
Syracuse, NY 13208-1519

Phone

(315) 703-3263

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Denise Octaviani, D.O.NPI 1841286325

Title

President - Owner

Phone

(315) 703-3263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Octaviani, D.O.

  • Adolescent Medicine (Family Medicine) Physician
  • Syracuse, NY
  • NPI 1841286325
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1437517463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081519",
            "telephone_number": "315-703-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081519",
            "telephone_number": "315-703-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIANI MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "OCTAVIANI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "315-703-3263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anne Obrist, MS, CCC-SLP
• Sara Marie Obrist, LMSW, MFT
• Brenda Sue Ocampo, RN
• Sabah Ocasio, LCSW
• Rohan Kumar Ochani, MD
• Denise Octaviani, D.O.
• Chelsea Oculien
• Ocutique
• Elizabeth Oczkowski, CRNA
• Caroline Awuor Odago, RPH

• Family Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.