Individual provider Active NPI

Sean M Murphy, NP

  • Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1578582128
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334169 Issued in NY
Practice address
144 Century Dr
Syracuse, NY 13209-2204
Phone
(315) 243-7767
Fax
(315) 214-8650
NPI assigned
Jul 18, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 334169 NY Primary

Addresses

Primary practice location

144 Century Dr
Syracuse, NY 13209-2204

Mailing address

144 Century Dr
Syracuse, NY 13209-2204
Phone (315) 243-7767

Other identifiers 1

IdentifierTypeStateIssuer
02807830MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000186 NY Practitioner - Nurse Practitioner 4284698671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

144 Century Dr
Solvay, NY 13209-2204
Phone (315) 243-7767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334169NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center, Inc. Past Accepting new patients
Outpatient Medical Center, Inc. Nurse Practitioner PastSince Jan 7, 2007 Accepting new patients
Outpatient Medical Center, Inc. Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grace111@hiemail.healtheconnections.org
  • Direct secure messaging: hopemobile_np_family_health@hiemail.healtheconnections.org

Organizations & group practices 4

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 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1578582128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CENTURY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092204",
            "telephone_number": "315-243-7767",
            "fax_number": "315-214-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CENTURY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092204",
            "telephone_number": "315-243-7767",
            "fax_number": "315-214-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02807830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.