Organization Active NPI

Jeffrey Laduca MD PC

  • Specialist
  • Auburn, NY
National Provider Identifier
1760653380
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
214949-1 Issued in NY
Legal business name
JEFFREY LADUCA MD PC
Practice address
144 Standart Ave
Auburn, NY 13021-1508
Phone
(315) 255-1100
Fax
(315) 255-1322
NPI assigned
Mar 24, 2008
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Laura Jeanne Sharpsteen
Title
Office Manager
Phone
(315) 255-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 214949-1 NY Primary

Addresses

Primary practice location

144 Standart Ave
Auburn, NY 13021-1508

Mailing address

144 Standart Ave
Auburn, NY 13021-1508
Phone (315) 255-1100

Other practice location 1

833 West Genesee St.
Skaneateles, NY 13152
Phone (315) 685-1100

Other practice location 2

7040 Manlius Center Rd
East Syracuse, NY 13057-9530
Phone (315) 478-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000688 NY Part B Supplier - Clinic/Group Practice 6608789896 Receives reassigned benefits from 11 practitioners
Practice locations: East Syracuse, NY; Skaneateles, NY; Auburn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1099815Jeffrey Laduca MD PC144 Standart Avenue, Auburn, NY 13021Provider-performed microscopyOct 22, 2027

National Provider Directory

National Provider Directory

Locations

144 Standart Ave
Auburn, NY 13021
Phone (315) 255-1100

14 W Genesee St
Skaneateles, NY 13152
Phone (315) 685-1100

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1760653380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STANDART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211508",
            "telephone_number": "315-255-1100",
            "fax_number": "315-255-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STANDART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211508",
            "telephone_number": "315-255-1100",
            "fax_number": "315-255-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 West Genesee St.",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-685-1100",
            "fax_number": "315-255-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 Manlius Center Rd",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579530",
            "country_code": "US",
            "telephone_number": "315-478-1100",
            "fax_number": "315-255-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY LADUCA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "SHARPSTEEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-255-1100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214949-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.