NPIMap

Organization Active NPI

Cny Facial Surgery Group, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • E. Syracuse, NY
National Provider Identifier
1831297183
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
CNY FACIAL SURGERY GROUP, PC
Practice address
4939 Brittonfield Parkway
BLDG B, Suite 210
E. Syracuse, NY 13057
Phone
(315) 471-8404
Fax
(315) 471-6803
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Mary Barrigar
Title
Office Manager
Phone
(315) 471-8404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

4939 Brittonfield Parkway
BLDG B, Suite 210
E. Syracuse, NY 13057

Mailing address

4939 Brittonfield Parkway
BLDG B, Suite 210
E. Syracuse, NY 13057
Phone (315) 471-8404

Other identifiers 1

IdentifierTypeStateIssuer
03597968MedicaidNY

Other names 1

  • Douglas W. Halliday, M.D., P.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101001028 NY Part B Supplier - Clinic/Group Practice 2466414594 Receives reassigned benefits from 4 practitioners
Practice locations: East Syracuse, 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
33D1075202Cny Facial Surgery Group PC4939 Brittonfield Parkway, East Syracuse, NY 13057Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

213 Genesee St
Auburn, NY 13021
Phone (315) 252-7281

4939 Brittonfield Pkwy
Ste 210
East Syracuse, NY 13057
Phone (315) 471-2713

4939 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 463-1600

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1831297183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PARKWAY",
            "address_2": "BLDG B, SUITE 210",
            "city": "E. SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-471-8404",
            "fax_number": "315-471-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PARKWAY",
            "address_2": "BLDG B, SUITE 210",
            "city": "E. SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-471-8404",
            "fax_number": "315-471-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY FACIAL SURGERY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BARRIGAR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-471-8404"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03597968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas W. Halliday, M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in E. Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.