Organization Active NPI

Albert Thomas Tripodi, M.D.PLLC

  • Specialist
  • Syracuse, NY
National Provider Identifier
1508070392
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
177301 Issued in NY
Legal business name
ALBERT THOMAS TRIPODI, M.D.PLLC
Practice address
1101 Erie Blvd E Ste 201
Syracuse, NY 13210-1144
Phone
(315) 476-2323
Fax
(315) 476-2438
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Albert Thomas Tripodi, M.D.
Title
Owner
Phone
(315) 476-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 177301 NY Primary

Addresses

Primary practice location

1101 Erie Blvd E Ste 201
Syracuse, NY 13210-1144

Mailing address

1101 Erie Blvd E Ste 201
Syracuse, NY 13210-1144
Phone (315) 476-2323

Other identifiers 1

IdentifierTypeStateIssuer
01230551MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1508070392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E STE 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101144",
            "telephone_number": "315-476-2323",
            "fax_number": "315-476-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E STE 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101144",
            "telephone_number": "315-476-2323",
            "fax_number": "315-476-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT THOMAS TRIPODI, M.D.PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "TRIPODI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-476-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "177301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01230551",
            "state": "NY"
        }
    ],
    "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 Jul 23, 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.