Individual provider Active NPI

Toni Heather Picerno, DO

  • Pediatrics Physician
  • Syracuse, NY
National Provider Identifier
1730146556
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
247377 Issued in NY
Practice address
311 Green St
Syracuse, NY 13203-2911
Phone
(315) 425-1431
Fax
(315) 425-1994
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 247377 NY Primary

Addresses

Primary practice location

311 Green St
Syracuse, NY 13203-2911

Mailing address

311 Green Street
Syracuse, NY 13203
Phone (315) 425-1431

Other identifiers 1

IdentifierTypeStateIssuer
02958987MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001304 NY Practitioner - Pediatric Medicine 9739475989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ted J. Triana, DO PC Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Ted J. Triana, DO, PC CurrentSince Apr 25, 2021 Accepting new patients
Wee Care Pediatrics, PLLC Pediatrics Past Accepting new patients

Locations

138 E Genesee St
Baldwinsville, NY 13027
Phone (315) 635-2333

6251 State Route 31
Cicero, NY 13039
Phone (315) 699-9595

511 S Main St
Syracuse, NY 13212
Phone (315) 425-1431

311 Green St
Syracuse, NY 13203
Phone (315) 425-1431

2700 Court St
Syracuse, NY 13208
Phone (315) 454-9022

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

2700 Court St
Ste 4
Syracuse, NY 13208
Phone (315) 233-4000

Interoperability endpoints

  • Direct secure messaging: tonip@compassionatefamilymedicine.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1730146556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GREEN STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-425-1431",
            "fax_number": "315-425-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GREEN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032911",
            "telephone_number": "315-425-1431",
            "fax_number": "315-425-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICERNO",
        "first_name": "TONI",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02958987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.