Mobile NP-Adult Health of Cny, P.C.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

303332 Issued in NY

Legal business name

MOBILE NP-ADULT HEALTH OF CNY, P.C.

Doing business as

MobileMed

Practice address

124 Rugby Rd
Syracuse, NY 13206-3225

Phone

(315) 437-1693

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Desta Anthony

Title

President

Phone

(315) 437-1693

Specialties & licenses 1

Addresses

Other names 1

• MobileMed Doing business as

Practitioners 1

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

• Yvonne M Gascon, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1386638500
  NPD

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1669662771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RUGBY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RUGBY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063225",
            "telephone_number": "315-437-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE NP-ADULT HEALTH OF CNY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "DESTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-437-1693",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MobileMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Brianna Mitts
• Luke Mitzel, PHD
• Michael Mix, MD
• MLW Developmental Evaluation Center
• Haris Mobeen, MD
• Mobility Products Corp
• Robin Lynn Mock, MA
• Raasisree Modalavalasa
• Jennifer Barrett Modugno
• Shefali Piyush Mody, MBBS

• Adult Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.