NPIMap

Organization Active NPI

Upstate Anesthesia PLLC

  • Anesthesiology Physician
  • Ogdensburg, NY
National Provider Identifier
1477927515
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
UPSTATE ANESTHESIA PLLC
Practice address
415 King St
Ogdensburg, NY 13669-1114
Phone
(315) 393-3600
NPI assigned
Nov 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2015

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

Authorized official

Name
Myriam S Beniamin, MD
Title
MD
Phone
(315) 393-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

415 King St
Ogdensburg, NY 13669-1114

Mailing address

PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448755200000",
    "number": "1477927515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-449-0513",
            "fax_number": "315-362-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691114",
            "telephone_number": "315-393-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-29",
        "last_updated": "2015-11-29",
        "status": "A",
        "authorized_official_last_name": "BENIAMIN",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-393-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; 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.