Crouse Medical Practice PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CROUSE MEDICAL PRACTICE PLLC

Practice address

475 Irving Ave
Suite 418
Syracuse, NY 13210-1756

Phone

(315) 475-3999

NPI assigned

Jul 11, 2013

Organization subpart

Yes

Parent organization

CROUSE MEDICAL PRACTICE PLLCAs reported in NPPES

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

Authorized official

Name

Paul J Kronenberg, MD

Title

Sole Shareholder

Phone

(315) 470-7825

Specialties & licenses 2

Addresses

Other names 1

• Neurosurgery Office Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crouse Medical Practice PLLC3 organizations share this tax ID, including this one

Part of

Crouse Medical Practice PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Crouse Medical Practice PLLC

  dba Internist Associates of Central New York

  • Non-Pharmacy Dispensing Site
  • Syracuse, NY
  • NPI 1568874881
  NPD tax ID
• Crouse Medical Practice PLLC

  • Cardiovascular Disease Physician
  • Syracuse, NY
  • NPI 1639559305
  NPD tax ID

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1538500152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-475-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-475-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUSE MEDICAL PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROUSE MEDICAL PRACTICE PLLC",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "KRONENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "315-470-7825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crouse Health Hospital, Inc.
• Crouse Health Inc. (Commonwealth Place)
• Crouse Hospital
• Crouse Irving Memorial Electrocardiographic Group
• Crouse Medical Practice PLLC (Internist Associates of Central New York)
• Crouse Medical Practice PLLC (Internist Associates of Central New York Clinical Laboratories)
• Crouse Medical Practice PLLC (Internist Associates of Central New York)
• Crouse Medical Practice PLLC
• Crouse Medical Practice, PLLC
• Crouse Radiology Associates LLP

• Neurological Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.