Active NPI
Stephanie Lee Muraca, RN, BSN, MS
- Registered Nurse
- Syracuse, NY
National Provider Identifier
1528495512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 375148-1
- Practice address
- 375 W Onondaga St
Suite 10
Syracuse, NY 13202-1888 - Phone
- (315) 478-2030
- Fax
- (315) 478-2250
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 375148-1 | NY | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 375148-1 | NY |
Addresses
Primary practice location
375 W Onondaga St
Suite 10
Syracuse, NY 13202-1888
Mailing address
375 W Onondaga St
Suite 10
Syracuse, NY 13202-1888
Phone (315) 478-2030
Other names 1
- Stephanie Lee Dudak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375148-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New York Services | Past | Accepting new patients | |
| Central New York Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Syracuse, NY
- NPI 1043656556
-
- Community/Behavioral Health Agency
- Syracuse, NY
- NPI 1518190602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1528495512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 W ONONDAGA ST",
"address_2": "SUITE 10",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021888",
"telephone_number": "315-478-2030",
"fax_number": "315-478-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 W ONONDAGA ST",
"address_2": "SUITE 10",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021888",
"telephone_number": "315-478-2030",
"fax_number": "315-478-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURACA",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"credential": "RN, BSN, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "375148-1",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "375148-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DUDAK",
"middle_name": "LEE",
"credential": "RN",
"code": "1",
"type": "Former 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 Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.