Active NPI
Jennifer L Lynch, RPA-C
- Medical Physician Assistant
- Syracuse, NY
National Provider Identifier
1568436285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 008472
- Practice address
- 5794 Widewaters Pkwy
Syracuse, NY 13214-1845 - Phone
- (315) 422-1513
- Fax
- (315) 422-5890
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 008472 | NY | Primary |
Addresses
Primary practice location
5794 Widewaters Pkwy
Syracuse, NY 13214-1845
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 470-7409
Other practice location 1
739 Irving Ave
Suite 500
Syracuse, NY 13210-1664
Phone (315) 470-7409
Other names 1
- Jennifer L Storiano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Syracuse, NY
- NPI 1740252618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568436285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5794 WIDEWATERS PKWY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141845",
"telephone_number": "315-422-1513",
"fax_number": "315-422-5890"
}
],
"practiceLocations": [
{
"address_1": "739 Irving Ave",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101664",
"country_code": "US",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "008472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "STORIANO",
"middle_name": "L",
"credential": "RPA-C",
"code": "5",
"type": "Other 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.