Community Ecg Echo Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COMMUNITY ECG ECHO GROUP

Practice address

4900 Broad Rd
Syracuse, NY 13215-2265

Phone

(315) 472-1488

Fax

(315) 472-8060

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Norman D Jaffe, MD

Title

Director

Phone

(315) 492-5973

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1659392553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ECG ECHO GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-492-5973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01193662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miketa Combs, LPN
• Elizabeth Kristin Cominsky, NP
• Kristen Evelyn Cominsky
• Melanie A Comito, MD
• Gabriella Commesso, OTR/L
• Community General Hospital
• Community General Hospital
• Community General Hospital of Greater Syracuse
• Community General Hospital of Greater Syracuse
• Community General Hospital of Greater Syracuse

• Cardiovascular Disease Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.