University Otolaryngology Associates of Central New York, LLP

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP

Practice address

750 E Adams St
Syracuse, NY 13210-2306

Phone

(315) 464-7290

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kellman, M.D.NPI 1265476410

Title

Chairman

Phone

(315) 464-7290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 31

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

• Kiranya Arnold, MD

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1265964639
  Medicare reassignment Care Compare group NPD
• Mark Arnold, MD

  • Otolaryngology Physician
  • Liverpool, NY
  • NPI 1730576638
  Medicare reassignment Care Compare group NPD
• Erin Bagley, AUD

  • Audiologist
  • Liverpool, NY
  • NPI 1750693990
  Medicare reassignment Care Compare group NPD
• Eve Privman Champaloux, MD, PHD

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1285138602
  Medicare reassignment Care Compare group NPD
• Jeffrey Alan Dorrity, M.D.

  • Pediatric Otolaryngology Physician
  • Syracuse, NY
  • NPI 1336584630
  Medicare reassignment Care Compare group NPD
• Alexander Evan Graf, MD

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1275152753
  Medicare reassignment Care Compare group NPD
• Rachel Kearl, DO

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1174085583
  Medicare reassignment Care Compare group NPD
• Richard Thomas Kelley, M.D.

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1295764744
  Medicare reassignment Care Compare group NPD
• Robert Kellman, M.D.

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1265476410
  Medicare reassignment NPD Authorized official
• Mark Marzouk, MD

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1518293166
  Medicare reassignment Care Compare group NPD
• Jacob Mesches, MD, MS

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1568084531
  Medicare reassignment Care Compare group NPD
• Anthony Joseph Mortelliti, M.D.

  • Otolaryngology Physician
  • Syracuse, NY
  • NPI 1134156201
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497796361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "315-464-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Aug 22, 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.