North Area Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1551771 Issued in NY

Legal business name

NORTH AREA PEDIATRICS, PC

Practice address

4811 Buckley Road
Liverpool, NY 13088

Phone

(315) 457-9966

Fax

(315) 457-9854

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Dracker, MDNPI 1528175361

Title

Medical Doctor Owner

Phone

(315) 457-9966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Albert Dracker, M.D.

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1528175361
  Medicare reassignment NPD Authorized official
• Fozia Bakshi, MD

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1538129655
  Medicare reassignment NPD
• Jennifer Cavallaro, FNP-C

  • Family Nurse Practitioner
  • North Syracuse, NY
  • NPI 1053972034
  Medicare reassignment NPD
• Rachel Swart, FNP

  • Family Nurse Practitioner
  • Liverpool, NY
  • NPI 1730912510
  Medicare reassignment NPD
• Grace Geno, PA

  • Physician Assistant
  • Liverpool, NY
  • NPI 1629544051
  Medicare reassignment
• Jordan Taylor Young, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1003677899
  NPD
• Hannah Corcoran, PA-C

  • Physician Assistant
  • Liverpool, NY
  • NPI 1164280632
  NPD (past)
• Maribel Quinones-Guzman

  • Pediatrics Physician
  • Liverpool, NY
  • NPI 1841227972
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1609949049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BUCKLEY ROAD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-457-9966",
            "fax_number": "315-457-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BUCKLEY ROAD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-457-9966",
            "fax_number": "315-457-9854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130313200",
            "country_code": "US",
            "telephone_number": "315-488-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH AREA PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "DRACKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "315-457-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1551771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Nolan, MD
• Thomas Bennett Nolan, DDS
• North Area Medical Group P.C.
• North Area Medical Group, P.C.
• North Area Pediatrics, PC
• North Medical PC
• North Medical Radiotherapy, P.C.
• Catherine M North, M.D.
• Northern Onondaga Volunteer Ambulance Inc
• Lisa Marie Notaro, L.P.N

• Pediatrics Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.