NPIMap

Organization Active NPI

Upstate Neurosurgery LLP

  • Neurological Surgery Physician
  • Syracuse, NY
National Provider Identifier
1497788574
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UPSTATE NEUROSURGERY LLP
Practice address
725 Irving Ave
Suite 503
Syracuse, NY 13210-1603
Phone
(315) 464-4470
Fax
(315) 464-5520
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Jonathan P Miller, MDNPI 1487845772
Title
Chairman
Phone
(315) 464-4470

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

725 Irving Ave
Suite 503
Syracuse, NY 13210-1603

Mailing address

750 E Adams St
613 Jacobsen Hall
Syracuse, NY 13210-2306
Phone (315) 464-4470

Other identifiers 1

IdentifierTypeStateIssuer
02223641MedicaidNY

Other names 1

  • Neurosurgical Associates of CNY LLP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019001207 NY Part B Supplier - Clinic/Group Practice 0042271520 Receives reassigned benefits from 34 practitioners
Practice locations: Camillus, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

208 Township Blvd
Ste 200
Camillus, NY 13031
Phone (315) 464-4472

90 Presidential Plz
Ste 2A
Syracuse, NY 13202

90 Presidential Plz
Fl 290
Syracuse, NY 13202

4900 Broad Rd
Ste 3P
Syracuse, NY 13215
Phone (315) 492-5910

Practitioners & affiliated clinicians

Practitioners 50

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

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1497788574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "613 JACOBSEN HALL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4470",
            "fax_number": "315-464-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 503",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-4470",
            "fax_number": "315-464-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE NEUROSURGERY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "315-464-4470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02223641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical Associates of CNY LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 18, 2025; 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.