Individual provider Active NPI

James Lawrence Brody, N.P.

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1801454434
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344410-1 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-5540
NPI assigned
May 29, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344410-1 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

257 Salina Meadows Pkwy
Suite 100
Syracuse, NY 13212-4516
Phone (315) 464-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716001892 NY Practitioner - Nurse Practitioner 0042545899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1659
Phone (315) 726-3861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344410-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Wound Healing Solutions LLC CurrentSince Feb 1, 2020 Accepting new patients
Upstate Emergency Medicine, Inc CurrentSince Jul 1, 2019 Accepting new patients
Crouse Health Hospital Inc CurrentSince Nov 1, 2019 Accepting new patients
Zaki Badawy, MD PC CurrentSince Feb 20, 2024 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients

Locations

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

1235 Upper Front St
#208
Binghamton, NY 13905

5301 W Genesee St
Ste 50
Camillus, NY 13031
Phone (315) 832-9867

5586 Legionnaire Dr
Ste 3
Cicero, NY 13039
Phone (315) 632-6066

6333 State Route 298
Ste 102
East Syracuse, NY 13057
Phone (315) 760-5036

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

8100 Oswego Rd
Ste 140
Liverpool, NY 13090
Phone (315) 470-7364

217 East Ave
Minoa, NY 13116
Phone (315) 656-7277

60 Broad St
New York, NY 10004
Phone (212) 785-0797

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

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1801454434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SALINA MEADOWS PKWY",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516",
            "telephone_number": "315-464-2000",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "JAMES",
        "middle_name": "LAWRENCE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.