Organization Active NPI

Syracuse Hematology Oncology PC

  • Hematology & Oncology Physician
  • Liverpool, NY
National Provider Identifier
1669667671
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SYRACUSE HEMATOLOGY ONCOLOGY PC
Practice address
5112 W Taft Rd
Suite J
Liverpool, NY 13088-4868
Phone
(315) 452-2688
Fax
(315) 452-2690
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Benjamin S Himpler, MDNPI 1962497529
Title
President, PC
Phone
(315) 452-2688

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

5112 W Taft Rd
Suite J
Liverpool, NY 13088-4868

Mailing address

5112 W Taft Rd
Suite J
Liverpool, NY 13088-4868
Phone (315) 452-2688

Other identifiers 1

IdentifierTypeStateIssuer
021913468MedicaidNY

National Provider Directory

National Provider Directory

Locations

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1669667671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-2688",
            "fax_number": "315-452-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD",
            "address_2": "SUITE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884868",
            "telephone_number": "315-452-2688",
            "fax_number": "315-452-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE HEMATOLOGY ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HIMPLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, PC",
        "authorized_official_telephone_number": "315-452-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021913468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.