Organization Active NPI

GYN Oncology Associates

  • Gynecologic Oncology Physician
  • Syracuse, NY
National Provider Identifier
1457393092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
121670 Issued in NY
Legal business name
GYN ONCOLOGY ASSOCIATES
Practice address
101 S Warren St
Syracuse, NY 13202-1147
Phone
(315) 423-0208
Fax
(315) 423-0255
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abdulghaffar Musa, M.D.NPI 1780675645
Title
Physician/President
Phone
(315) 423-0208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X 121670 NY Primary

Addresses

Primary practice location

101 S Warren St
Syracuse, NY 13202-1147

Mailing address

101 S Warren St
Syracuse, NY 13202-1147
Phone (315) 423-0208

Other identifiers 1

IdentifierTypeStateIssuer
00536181MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457393092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WARREN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021147",
            "telephone_number": "315-423-0208",
            "fax_number": "315-423-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WARREN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021147",
            "telephone_number": "315-423-0208",
            "fax_number": "315-423-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYN ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSA",
        "authorized_official_first_name": "ABDULGHAFFAR",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "315-423-0208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "121670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.