Individual provider Active NPI

Auyon J Ghosh

  • Pulmonary Disease Physician
  • Syracuse, NY
National Provider Identifier
1710306295
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
308720 Issued in NY
Practice address
90 Presidential PLZ FL 2
Syracuse, NY 13202-2240
Phone
(315) 464-3835
NPI assigned
Apr 10, 2014
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 308720 NY
Pulmonary Disease Physician 207RP1001X 308720 NY Primary

Addresses

Primary practice location

90 Presidential PLZ FL 2
Syracuse, NY 13202-2240

Mailing address

251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200505002361 MA Practitioner - Pulmonary Disease 3779702345 Reassigns benefits to 1 organization
I20210611001869 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3779702345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
State University of Ny Upstate Medical University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 Presidential PLZ
2ND
Syracuse, NY 13202-2240
Phone (315) 464-5240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308720NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Apr 1, 2020 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Critical Care Medicine CurrentSince Aug 1, 2021 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Aug 1, 2021 Accepting new patients
Upstate Community Medical, PC CurrentSince Aug 1, 2021 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8413

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4CNORTH
Syracuse, NY 13215
Phone (315) 492-5804

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836

90 Presidential Plz
Fl 2
Syracuse, NY 13202
Phone (315) 464-3833

Interoperability endpoints

  • Direct secure messaging: aghosh13836@direct.upstate.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1710306295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ FL 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "AUYON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "308720",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "308720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.