Active NPI
Marina Angelina Korzan
- Student in an Organized Health Care Education/Training Program
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-5540
- NPI assigned
- Apr 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
8709 Lavender LN
Cicero, NY 13039-8648
Phone (607) 743-6572
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- State University of Ny Upstate Medical University, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Carthage Area Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- mseidel79897@direct.upstate.edu
Organizations & group practices 2
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
- Syracuse, NY
- NPI 1689620163
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1861072183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8709 LAVENDER LN",
"city": "CICERO",
"state": "NY",
"postal_code": "130398648",
"telephone_number": "607-743-6572"
},
{
"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": "KORZAN",
"first_name": "MARINA",
"middle_name": "ANGELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-11",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2026; 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.
- 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.