NPIMap

Organization Active NPI

Endocrinology, Diabetes & Metabolism, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Auburn, NY
National Provider Identifier
1710255120
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY, DIABETES & METABOLISM, PLLC
Practice address
399 Grant Avenue Rd
Auburn, NY 13021-8202
Phone
(315) 253-2669
Fax
(315) 282-0077
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Shriwan A Mirza, M.D.
Title
Owner
Phone
(315) 253-2669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

399 Grant Avenue Rd
Auburn, NY 13021-8202

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 701-5607

National Provider Directory

National Provider Directory

Locations

399 Grant Avenue Rd
Auburn, NY 13021
Phone (315) 253-2669

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1710255120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-701-5607",
            "fax_number": "315-701-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GRANT AVENUE RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218202",
            "telephone_number": "315-253-2669",
            "fax_number": "315-282-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY, DIABETES & METABOLISM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "SHRIWAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-253-2669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.