Active NPI
Christina Marie Marryott, FNP
- Family Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F-343045-1
- Practice address
- 1000 E Genesee St Ste 300
Syracuse, NY 13210-1851 - Phone
- (315) 471-1044
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F-343045-1 | NY | Primary |
Addresses
Primary practice location
1000 E Genesee St Ste 300
Syracuse, NY 13210-1851
Mailing address
1000 E Genesee St Ste 300
Syracuse, NY 13210-1851
Phone (315) 471-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05317717 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-343045-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| New York General Medical Services PC | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients |
Locations
6221 State Route 31
Cicero, NY 13039
Phone (315) 752-0100
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
1000 E Genesee St
Ste 300
Syracuse, NY 13210
Phone (315) 471-1044
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
Interoperability endpoints
- cwright2386846@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1811483183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST STE 300",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101851",
"telephone_number": "315-471-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E GENESEE ST STE 300",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101851",
"telephone_number": "315-471-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRYOTT",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F-343045-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05317717",
"state": "NY"
}
],
"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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.