Active NPI
Maureen Nardozza
- Psychiatric/Mental Health Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F404173-01
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (315) 492-5011
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F404173-01 | NY | Primary |
Addresses
Primary practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
3404 Hammocks Dr Apt 208
Baldwinsville, NY 13027-4220
Phone (315) 209-9566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-3265
4914 W Genesee St
Suite 121
Camillus, NY 13031-2378
Phone (315) 446-1435
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 88.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F404173-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Psychiatry Faculty Practice, Inc. | Current | Accepting new patients | |
| Psychiatric NP Consultants of Central New York, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Interoperability endpoints
- mnardozza17670@direct.upstate.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Camillus, NY
- NPI 1255840682
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1700513140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 HAMMOCKS DR APT 208",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130274220",
"telephone_number": "315-209-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDOZZA",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F404173-01",
"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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.