Individual provider Active NPI

Jennifer C Marziale, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1578566436
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
222477 Issued in NY
Practice address
4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103
Phone
(315) 492-5915
Fax
(315) 492-5210
NPI assigned
May 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 222477 NY Primary

Addresses

Primary practice location

4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103

Mailing address

4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103
Phone (315) 492-5915

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505001074 NY Practitioner - Obstetrics/Gynecology 4789712118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced OB GYN PLLCGroup PAC ID 2769436591, 4 clinicians
Upstate Community Medical, PCGroup PAC ID 0143238782, 153 clinicians

Practice addresses (Care Compare)

4850 Broad Rd
Syracuse, NY 13215-5103
Phone (315) 492-5915

4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Community Medical, PC CurrentSince Apr 12, 2016 Accepting new patients
Advanced OB GYN, PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2002 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4850 Broad Rd
Ste 2C
Syracuse, NY 13215
Phone (315) 436-5046

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

Interoperability endpoints

  • Direct secure messaging: drmarziale@advancedob-gyn.medentdirect.com
  • Direct secure messaging: jmarziale27985@direct.upstate.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578566436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZIALE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "222477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.