Individual provider Active NPI

John F Finkenstadt, M.D.

  • Adult Medicine Physician
  • Syracuse, NY
National Provider Identifier
1770593360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A1333509 Issued in NY
Practice address
475 Irving Ave
Suite 402
Syracuse, NY 13210-1756
Phone
(315) 478-9710
Fax
(315) 479-9145
NPI assigned
Aug 8, 2006
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
Adult Medicine Physician 207QA0505X A1333509 NY Primary

Addresses

Primary practice location

475 Irving Ave
Suite 402
Syracuse, NY 13210-1756

Mailing address

475 Irving Ave
Suite 402
Syracuse, NY 13210-1756
Phone (315) 478-9710

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
I20090721000263 NY Practitioner - Family Practice 1557413614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musculoskeletal Medicine PCGroup PAC ID 6002952470, 2 clinicians

Practice addresses (Care Compare)

475 Irving Ave
Suite 402
Syracuse, NY 13210-1573
Phone (315) 478-9710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1333509NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Medicine P C CurrentSince Jul 31, 2001 Accepting new patients

Locations

475 Irving Ave
Ste 402
Syracuse, NY 13210
Phone (315) 478-0652

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770593360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 402",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-478-9710",
            "fax_number": "315-479-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 402",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-478-9710",
            "fax_number": "315-479-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKENSTADT",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "A1333509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.