Individual provider Active NPI

Paul Henry Trela, F.N.P.

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1447337761
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332727 Issued in NY
Practice address
750 E Adams St
Physical Medicine & Rehabiliation
Syracuse, NY 13210-2342
Phone
(315) 464-5820
Fax
(315) 464-8699
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332727 NY Primary

Addresses

Primary practice location

750 E Adams St
Physical Medicine & Rehabiliation
Syracuse, NY 13210-2342

Mailing address

750 E Adams St
Physical Medicine & Rehabiliation
Syracuse, NY 13210-2342
Phone (315) 464-5820

Other identifiers 1

IdentifierTypeStateIssuer
02328949MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000834 NY Practitioner - Nurse Practitioner 5890786693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F332727NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehab Medical Service Group CurrentSince Jan 1, 2003 Accepting new patients

Locations

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

813 Fay Rd
Syracuse, NY 13219
Phone (315) 464-5820

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

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 and National Provider Directory roles.

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": "1377043200000",
    "number": "1447337761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "PHYSICAL MEDICINE & REHABILIATION",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5820",
            "fax_number": "315-464-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "PHYSICAL MEDICINE & REHABILIATION",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-5820",
            "fax_number": "315-464-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELA",
        "first_name": "PAUL",
        "middle_name": "HENRY",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02328949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.