NPIMap

Organization Active NPI

M R Goriganti Physician PLLC

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
National Provider Identifier
1508049032
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
210930 Issued in NY
Legal business name
M R GORIGANTI PHYSICIAN PLLC
Practice address
1000 E Genesee St Ste 100a
Syracuse, NY 13210-1853
Phone
(315) 423-4155
Fax
(315) 423-4199
NPI assigned
Dec 6, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mahender Rao Goriganti, MDNPI 1144202805
Title
Member
Phone
(315) 423-4155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 210930 NY Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X 210930 NY
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 210930 NY

Addresses

Primary practice location

1000 E Genesee St Ste 100a
Syracuse, NY 13210-1853

Mailing address

1000 E Genesee St Ste 100a
Syracuse, NY 13210-1853
Phone (315) 423-4155

National Provider Directory

National Provider Directory

Locations

1000 E Genesee St
#100A
Syracuse, NY 13210
Phone (315) 423-4155

1000 E Genesee St
Ste 100A
Syracuse, NY 13210
Phone (315) 423-4155

287 Genesee St
Utica, NY 13501
Phone (315) 593-7715

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508049032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 100A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101853",
            "telephone_number": "315-423-4155",
            "fax_number": "315-423-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 100A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101853",
            "telephone_number": "315-423-4155",
            "fax_number": "315-423-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M R GORIGANTI PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GORIGANTI",
        "authorized_official_first_name": "MAHENDER",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-423-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "210930",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NY",
            "license": "210930",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "210930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2008; 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.