Individual provider Active NPI

Maria Aurora Torres Sy, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
National Provider Identifier
1679863070
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
201001102 Issued in NC
Practice address
1738 Owen Dr Ste 107
Fayetteville, NC 28304-3419
Phone
(910) 307-7330
Fax
(910) 307-7334
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 201001102 NC Primary

Addresses

Primary practice location

1738 Owen Dr Ste 107
Fayetteville, NC 28304-3419

Mailing address

400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone (910) 739-3318

Other identifiers 1

IdentifierTypeStateIssuer
5919961MedicaidNC

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

LicenseStateTypeSpecialty
201001102NCMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: maria.torres.sy.1@29216.direct.athenahealth.com
  • Direct secure messaging: mariatorressy@lumbertonc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1679863070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582446",
            "telephone_number": "910-739-3318",
            "fax_number": "910-671-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 OWEN DR STE 107",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043419",
            "telephone_number": "910-307-7330",
            "fax_number": "910-307-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES SY",
        "first_name": "MARIA AURORA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201001102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919961",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.