Active NPI
Chloe Nuzzo, PA-C
- Physician Assistant
- Baldwinsville, NY
National Provider Identifier
1477104073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023949
- Practice address
- 138 E Genesee St
Baldwinsville, NY 13027-2793 - Phone
- (315) 275-1431
- NPI assigned
- Sep 25, 2019
- Last updated
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023949 | NY | Primary |
| Physician Assistant | 363A00000X | 0110006721 | VA |
Addresses
Primary practice location
138 E Genesee St
Baldwinsville, NY 13027-2793
Mailing address
138 E Genesee St
Baldwinsville, NY 13027-2793
Phone (315) 275-1431
Other names 1
- Chloe Mason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006721 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ted J. Triana, DO PC | Past | Accepting new patients |
Interoperability endpoints
- chloen@compassionatefamilymedicine.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Compassionate Family Medicine
- Family Medicine Physician
- Syracuse, NY
- NPI 1992243687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1477104073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 E GENESEE ST",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130272793",
"telephone_number": "315-275-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 E GENESEE ST",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130272793",
"telephone_number": "315-275-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZZO",
"first_name": "CHLOE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023949",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHLOE",
"last_name": "MASON",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.