Individual provider Active NPI

John Syracuse, DC

  • Chiropractor
  • Newfane, NY
National Provider Identifier
1720100472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0084131 Issued in NY
Practice address
2733 South Main St
Newfane, NY 14108
Phone
(716) 778-9282
Fax
(716) 778-6742
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0084131 NY Primary

Addresses

Primary practice location

2733 South Main St
Newfane, NY 14108

Mailing address

2733 South Main St
Newfane, NY 14108
Phone (716) 778-9282

Other identifiers 3

IdentifierTypeStateIssuer
8890272OtherNYINDEPENDENT HEALTH
1615959753OtherNYPRISM
C084139BOtherWORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000341 NY Practitioner - Chiropractic 5294800173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newfane Family Chiropractic, PCGroup PAC ID 6305911280, 2 clinicians

Practice addresses (Care Compare)

2743 Main St
Newfane, NY 14108-1205
Phone (716) 778-9282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0084131NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Newfane Family Chiropractic, PC Chiropractor CurrentSince Jul 19, 2008 Accepting new patients

Locations

2743 Main St
Newfane, NY 14108
Phone (716) 778-9282

2733 Main St
Newfane, NY 14108
Phone (716) 413-3659

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720100472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 SOUTH MAIN ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "14108",
            "telephone_number": "716-778-9282",
            "fax_number": "716-778-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 SOUTH MAIN ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "14108",
            "telephone_number": "716-778-9282",
            "fax_number": "716-778-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRACUSE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0084131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8890272",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM",
            "identifier": "1615959753",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "C084139B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfane, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.