Active NPI
Allyson Hauptli, PA
- Medical Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 030806
- Practice address
- 1000 E Genesee St Ste 403
Syracuse, NY 13210-1840 - Phone
- (315) 464-2929
- Fax
- (315) 464-2930
- NPI assigned
- Oct 9, 2023
- 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 | 030806 | NY | Primary |
Addresses
Primary practice location
1000 E Genesee St Ste 403
Syracuse, NY 13210-1840
Mailing address
1000 E Genesee St Ste 403
Syracuse, NY 13210-1840
Phone (315) 464-2929
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Genesee St
Suite 403
Syracuse, NY 13210-1840
Phone (315) 464-2929
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4457
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030806 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current | Accepting new patients | |
| Northern Oswego County Health Services, Inc. | Current | Accepting new patients |
Locations
10 George St
Oswego, NY 13126
Phone (315) 342-0880
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
1000 E Genesee St
Ste 403
Syracuse, NY 13210
Phone (315) 464-2929
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- aaugur139364@direct.upstate.edu
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Community Health Clinic/Center
- Pulaski, NY
- NPI 1508850280
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1598546368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST STE 403",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101840",
"telephone_number": "315-464-2929",
"fax_number": "315-464-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST STE 403",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101840",
"telephone_number": "315-464-2929",
"fax_number": "315-464-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPTLI",
"first_name": "ALLYSON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "030806",
"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 Apr 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.