Individual provider Active NPI

Quanta Caneisha Burrage

  • Administrator Registered Nurse
  • Syracuse, NY
National Provider Identifier
1750210316
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
N39678 Issued in NY
Practice address
228 Lafayette Rd
Syracuse, NY 13205-2921
Phone
(315) 492-9990
NPI assigned
May 18, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X N39678 NY Primary

Addresses

Primary practice location

228 Lafayette Rd
Syracuse, NY 13205-2921

Mailing address

230 Columbia Ave
Syracuse, NY 13207-1610

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

State licenses

LicenseStateTypeSpecialty
N39678NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1750210316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COLUMBIA AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LAFAYETTE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052921",
            "telephone_number": "315-492-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRAGE",
        "first_name": "QUANTA",
        "middle_name": "CANEISHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "N39678",
            "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 May 18, 2026; 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.