NPIMap

Organization Active NPI

Nephrology Associates of Syracuse, P.C.

  • Nephrology Physician
  • Syracuse, NY
National Provider Identifier
1831276823
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C.
Practice address
1304 Buckley Rd Ste 200
Syracuse, NY 13212-4301
Phone
(315) 478-3311
Fax
(315) 214-4847
NPI assigned
Nov 1, 2006
Last updated
Apr 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Authorized official

Name
Philip T Ondocin, MDNPI 1902888506
Title
Physician
Phone
(315) 478-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1304 Buckley Rd Ste 200
Syracuse, NY 13212-4301

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503
Phone (315) 446-3904

Other identifiers 3

IdentifierTypeStateIssuer
00581631MedicaidNY
20000510941OtherNYMVP
CF7820OtherNYRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000286 NY Part B Supplier - Clinic/Group Practice 2769379015 Receives reassigned benefits from 14 practitioners
Practice locations: Camillus, NY; Fayetteville, NY; Fulton, NY; Syracuse, NY; Vernon, 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
33D0166091Nephrology Associates of Syracuse PC1304 Buckley Road, Syracuse, NY 13212AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

5700 W Genesee St
Ste 211
Camillus, NY 13031
Phone (315) 410-6400

4000 Medical Center Dr
Ste 101D
Fayetteville, NY 13066
Phone (315) 478-3311

522 S 4th St
Ste 400
Fulton, NY 13069
Phone (315) 452-4670

1304 Buckley Rd
Syracuse, NY 13212
Phone (315) 478-3311

721 E Genesee St
Syracuse, NY 13210
Phone (315) 478-3311

4857 State Route 5
Vernon, NY 13476
Phone (315) 363-9995

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712361600000",
    "number": "1831276823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-446-3904",
            "fax_number": "315-552-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124301",
            "telephone_number": "315-478-3311",
            "fax_number": "315-214-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "ONDOCIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-478-3311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00581631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "20000510941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF7820",
            "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 Apr 6, 2024; 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.