Active NPI
Edith M Westpfal, M.D.
- Obstetrics & Gynecology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 215362
- Practice address
- 4900 Broad Rd., Physicians Office Building South
Suite 2H
Syracuse, NY 13215-2265 - Phone
- (315) 492-2520
- Fax
- (315) 492-2986
- NPI assigned
- Nov 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2153621 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 215362 | NY | Primary |
Addresses
Primary practice location
4900 Broad Rd., Physicians Office Building South
Suite 2H
Syracuse, NY 13215-2265
Mailing address
4900 Broad Rd., Physicians Office Building South
Suite 2H
Syracuse, NY 13215-2265
Phone (315) 492-2520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02048960 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2153621 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Cathy J. Berry, M.D., P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
4900 Broad Rd
Ofc
Syracuse, NY 13215
Phone (315) 492-5777
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Interoperability endpoints
- ewestpfal27989@direct.upstate.edu
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1992784573
-
- 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": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1669454492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 BROAD RD., PHYSICIANS OFFICE BUILDING SOUTH",
"address_2": "SUITE 2H",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-2520",
"fax_number": "315-492-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD., PHYSICIANS OFFICE BUILDING SOUTH",
"address_2": "SUITE 2H",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-2520",
"fax_number": "315-492-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTPFAL",
"first_name": "EDITH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "2153621",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "215362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02048960",
"state": "NY"
}
],
"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 Sep 26, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.