Active NPI
Sobhy Electrodiagnostic and Pain Medicine P.C.
- Interventional Pain Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 200742
- Legal business name
- SOBHY ELECTRODIAGNOSTIC AND PAIN MEDICINE P.C.
- Practice address
- 109 South Warren Street
Suite 711 State Tower BLDG.
Syracuse, NY 13202-1798 - Phone
- (315) 425-9094
- Fax
- (315) 425-8970
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saad George Sobhy, M.D.
- Title
- President / Medical Director
- Phone
- (315) 425-9094
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 200742 | NY | Primary |
Addresses
Primary practice location
109 South Warren Street
Suite 711 State Tower BLDG.
Syracuse, NY 13202-1798
Mailing address
109 South Warren Street
Suite 711 State Tower BLDG.
Syracuse, NY 13202-1798
Phone (315) 425-9094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01613758 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
151 Northern Concourse
Ste 2
Syracuse, NY 13212
Phone (315) 425-9094
109 S Warren St
Ste 711
Syracuse, NY 13202
Phone (315) 425-9094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Syracuse, NY
- NPI 1679764187
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1669565289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SOUTH WARREN STREET",
"address_2": "SUITE 711 STATE TOWER BLDG.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021798",
"telephone_number": "315-425-9094",
"fax_number": "315-425-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SOUTH WARREN STREET",
"address_2": "SUITE 711 STATE TOWER BLDG.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021798",
"telephone_number": "315-425-9094",
"fax_number": "315-425-8970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBHY ELECTRODIAGNOSTIC AND PAIN MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "SOBHY",
"authorized_official_first_name": "SAAD",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
"authorized_official_telephone_number": "315-425-9094",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "200742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01613758",
"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 Aug 11, 2008; 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.