NPIMap

Organization Active NPI

Upstate Orthopedics, LLP

  • Durable Medical Equipment & Medical Supplies
  • Camillus, NY
National Provider Identifier
1871290445
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UPSTATE ORTHOPEDICS, LLP
Practice address
208 Township Blvd
Camillus, NY 13031-1786
Phone
(315) 551-6000
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Stephen A Albanese, MDNPI 1952305369
Title
Chairman
Phone
(315) 464-4472

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

208 Township Blvd
Camillus, NY 13031-1786

Mailing address

6620 Fly Rd Ste 200
East Syracuse, NY 13057-4282
Phone (315) 464-8163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011001016 NY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1456344514 Practice locations: Camillus, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Upstate Orthopedics LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

208 Township Blvd
Ste 200
Camillus, NY 13031
Phone (315) 464-4472

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1871290445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 FLY RD STE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574282",
            "telephone_number": "315-464-8163",
            "fax_number": "315-464-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 TOWNSHIP BLVD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311786",
            "telephone_number": "315-551-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE ORTHOPEDICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "315-464-4472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.