Syracuse Otolaryngology PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SYRACUSE OTOLARYNGOLOGY PLLC

Doing business as

Center For Specialty Medicine And Surgery LLC

Practice address

101 Richmond Ave Ste 320
Syracuse, NY 13204-2298

Phone

(315) 254-2030

Fax

(315) 254-2031

NPI assigned

Feb 11, 2014

Last updated

Jun 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Parul Goyal, MDNPI 1598791543

Title

Member

Phone

(315) 254-2030

Specialties & licenses 2

Addresses

Other names 2

• Center For Specialty Medicine And Surgery LLC Doing business as
• Syracuse Otolaryngology LLC Other name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parul Goyal, M.D.

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1598791543

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey Goyal

  • Otolaryngology Physician
  • Perth Amboy, NJ
  • NPI 1851753859

  NY

  Medicare reassignment Care Compare group NPD
• Jessica Lynn Demauro, PA-C

  • Medical Physician Assistant
  • Syracuse, NY
  • NPI 1346657251
  Medicare reassignment Care Compare group
• Kavita Suryadevara, PA-C

  • Physician Assistant
  • Syracuse, NY
  • NPI 1619518628
  Medicare reassignment Care Compare group
• John Walter Ingle, MD

  • Otolaryngology Physician
  • Rochester, NY
  • NPI 1508905548
  Medicare reassignment NPD
• Nicolas Uzcategui, MD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1801983473
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1467876490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICHMOND AVE STE 320",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13204",
            "telephone_number": "315-254-2030",
            "fax_number": "315-254-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICHMOND AVE STE 320",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042298",
            "telephone_number": "315-254-2030",
            "fax_number": "315-254-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Amboy Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613118",
            "country_code": "US",
            "telephone_number": "315-254-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYRACUSE OTOLARYNGOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "PARUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-254-2030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Specialty Medicine And Surgery LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Syracuse Otolaryngology LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Otolaryngology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.