Daniel Thomas Dennis Jr., FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

340652 Issued in NY

Practice address

301 Prospect Ave
PCC-Main, Pob 6TH Floor
Syracuse, NY 13203-1807

Phone

(315) 448-5491

Fax

(315) 448-6203

NPI assigned

Jun 16, 2016

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians

Schuyler Hospital IncGroup PAC ID 3577548262, shared by 6 NPIs, 41 clinicians

Physicians Medical Associates New York PCGroup PAC ID 7618310368, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clifton-Fine Hospital Hospital, Star Lake, NY, CCN 330799
• Schuyler Hospital Hospital, Montour Falls, NY, CCN 331313
• River Hospital Clinics Hospital, Alexandria Bay, NY, CCN 331309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clifton-Fine Healthcare Corporation

  dba Clifton-Fine Hospital

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649

  Family

  Medicare reassignment Care Compare group NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1073386421
  Medicare reassignment Care Compare group NPD
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment NPD
• Cma Medical Practice PLLC

  dba Emergency Medicine Associates of Cayuga PLLC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1962985564
  Medicare reassignment NPD
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1003075029

  Nurse Practitioner

  Medicare reassignment NPD
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Port Byron, NY
  • NPI 1114198819
  Medicare reassignment NPD
• Nes Medical Services of New York PC

  • Emergency Medicine Physician
  • Bath, NY
  • NPI 1215455191
  Medicare reassignment NPD
• Port City Emergency Physicians LLP

  • Emergency Medicine Physician
  • Oswego, NY
  • NPI 1134370547

  Nurse Practitioner

  Medicare reassignment NPD
• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clifton-Fine Healthcare Corporation

  dba Clifton-Fine Hospital

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Care Compare affiliation
• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Care Compare affiliation
• River Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Alexandria Bay, NY
  • NPI 1821022781
  Care Compare affiliation
• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477
  Care Compare affiliation

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1881044295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "PCC-MAIN, POB 6TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5491",
            "fax_number": "315-448-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "PCC-MAIN, POB 6TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5491",
            "fax_number": "315-448-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "340652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE NUMBER",
            "identifier": "F340652-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora M Denero
• Fangming Deng, M.D.
• Jia Ci Deng
• Kelly M Denne-Maher
• Craig Francis Dennis, PHARM D
• Katie Dennis
• Meagan Y Dennis
• Nikia Dennis, LMSW
• Sydney Deno
• Daniel Joseph Denoble

• Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.

Verify at the official NPI Registry.