Nathan Deforge

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

882332-01 Issued in NY

Practice address

800 Irving Ave
Syracuse, NY 13210-2716

Phone

(315) 425-4400

NPI assigned

Sep 15, 2025

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1760353726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 LADD RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102716",
            "telephone_number": "315-425-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORGE",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "882332-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas Decourcey, DO
• Tiffany Danielle Decrisci
• Sarah Dedrick, LMFT-D
• Sidra Deen, MD
• Anthony Guy Defeo, PA-C
• Darcy Karen Defruscio, NP
• Edward Louis Defuria, DDS
• Nicole Defurio, LCSW
• Michael John Degennaro, CRNA
• Karen A. Degre, N.P.

• Case Management Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Case Management Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.