Active NPI
Andrew Knoll, M.D.
- Legal Medicine (M.D./D.O.) Physician
- Syracuse, NY
National Provider Identifier
1669912663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine (M.D./D.O.) Physician
- License
- 181413
- Practice address
- 507 Plum St
Suite 310
Syracuse, NY 13204-5429 - Phone
- (315) 477-6241
- NPI assigned
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine (M.D./D.O.) Physician | 209800000X | 181413 | NY | Primary |
Addresses
Primary practice location
507 Plum St
Suite 310
Syracuse, NY 13204-5429
Mailing address
507 Plum Street
Suite 310
Syracuse, NY 13204
Phone (315) 477-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181413 | NY | MD | Legal Medicine (M.D./D.O.) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1669912663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 PLUM STREET",
"address_2": "SUITE 310",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13204",
"telephone_number": "315-477-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 PLUM ST",
"address_2": "SUITE 310",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132045429",
"telephone_number": "315-477-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "181413",
"primary": true
}
],
"identifiers": [],
"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 Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.