NPIMap

Organization Active NPI

MH-Cny-FL Medical PC

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1679707772
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
137659 Issued in NY
Legal business name
MH-CNY-FL MEDICAL PC
Practice address
109 South Warren St.
Suite 1605
Syracuse, NY 13202
Phone
(315) 475-3178
Fax
(315) 682-3879
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Riaz Sibtain Syed, M.D.NPI 1427029727
Title
President Ceo
Phone
(315) 475-3178

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
Psychiatry Physician 2084P0800X 137659 NY Primary

Addresses

Primary practice location

109 South Warren St.
Suite 1605
Syracuse, NY 13202

Mailing address

109 South Warren Street
Suite 1605
Syracuse, NY 13202
Phone (315) 475-3178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000006 NY Part B Supplier - Clinic/Group Practice 3577614775 Receives reassigned benefits from 2 practitioners
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

128 Genesee St
Ste 120
Auburn, NY 13021
Phone (315) 475-3178

109 S Warren St
Ste 1605
Syracuse, NY 13202
Phone (315) 475-3178

892 E Brighton Ave
Ste 2
Syracuse, NY 13205
Phone (315) 472-7885

892 E Brighton Ave
Ste B
Syracuse, NY 13205
Phone (315) 475-3178

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1679707772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SOUTH WARREN STREET",
            "address_2": "SUITE 1605",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-475-3178",
            "fax_number": "315-682-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SOUTH WARREN ST.",
            "address_2": "SUITE 1605",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-475-3178",
            "fax_number": "315-682-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH-CNY-FL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "SIBTAIN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "315-475-3178",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "137659",
            "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 May 5, 2009; 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.

Verify at the official NPI Registry.