Active NPI
Chris Ezomo
- Private Vehicle
- Syracuse, NY
National Provider Identifier
1710563440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 933 Hazelwood Ave
Syracuse, NY 13224-1314 - Phone
- (315) 395-7401
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
933 Hazelwood Ave
Syracuse, NY 13224-1314
Mailing address
933 Hazelwood Ave
Syracuse, NY 13224-1314
Phone (315) 395-7401
Other practice location 1
933 Hazelwood Ave
Syracuse, NY 13224-1314
Phone (315) 395-7401
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1710563440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 HAZELWOOD AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241314",
"telephone_number": "315-395-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 HAZELWOOD AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241314",
"telephone_number": "315-395-7401"
}
],
"practiceLocations": [
{
"address_1": "933 Hazelwood Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132241314",
"country_code": "US",
"telephone_number": "315-395-7401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EZOMO",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.