Active NPI
Austin David Madnick, DO
- Psychiatry Physician
- Syracuse, NY
National Provider Identifier
1568968113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 314454
- Practice address
- 650 Madison St
Syracuse, NY 13210-2319 - Phone
- (315) 426-7711
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 314454 | NY | Primary |
Addresses
Primary practice location
650 Madison St
Syracuse, NY 13210-2319
Mailing address
225 Wilkinson St Apt 408
Syracuse, NY 13204-2492
Phone (845) 807-6205
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190121001397 | NY | Order and Referring Only - Psychiatry | 5890032437 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314454 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- madnicka@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1568968113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WILKINSON ST APT 408",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042492",
"telephone_number": "845-807-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 MADISON ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102319",
"telephone_number": "315-426-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADNICK",
"first_name": "AUSTIN",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "314454",
"primary": true
}
],
"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 Jul 31, 2023; 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.