Individual provider Active NPI

Allyson Hauptli, PA

  • Medical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1598546368
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
030806 Issued in NY
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

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002925 NY Practitioner - Physician Assistant 6305295395 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
030806NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Apr 1, 2025 Accepting new patients
Northern Oswego County Health Services, Inc. CurrentSince Dec 4, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.