Individual provider Active NPI

Victoria V Okhman, NP

  • Pediatric Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1578086369
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382752 Issued in NY
Practice address
725 Irving Avenue
Ste 504
Syracuse, NY 13210
Phone
(315) 464-8444
Fax
(315) 464-8445
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 382752 NY
Pediatric Nurse Practitioner 363LP0200X F382752-1 NY
Pediatric Nurse Practitioner 363LP0200X 382752 NY Primary

Addresses

Primary practice location

725 Irving Avenue
Ste 504
Syracuse, NY 13210

Mailing address

251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F382752-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suny Health Science Center at Syracuse CurrentSince Aug 17, 2023 Accepting new patients
Pediatric Service Group CurrentSince Jun 18, 2018 Accepting new patients
Suny Health Science Center at Syracuse Nurse Practitioner CurrentSince Aug 17, 2023 Accepting new patients
University OB/GYN Associates PastSince Sep 5, 2023 Accepting new patients
Madison Irving Pediatrics, PC Past Accepting new patients

Locations

725 Irving Ave
Ste 112
Syracuse, NY 13210
Phone (315) 464-2806

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

475 Irving Ave
Ste 210
Syracuse, NY 13210
Phone (315) 471-2646

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

725 Irving Ave
Ste 504
Syracuse, NY 13210
Phone (315) 464-8444

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vokhman30878@direct.upstate.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1578086369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PARKWAY",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-464-2000",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVENUE",
            "address_2": "STE 504",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-8444",
            "fax_number": "315-464-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKHMAN",
        "first_name": "VICTORIA",
        "middle_name": "V",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "382752",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382752-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.