Active NPI
Surgical Associates of Upstate New York, LLP
- Specialist
- Camillus, NY
National Provider Identifier
1881734739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SURGICAL ASSOCIATES OF UPSTATE NEW YORK, LLP
- Practice address
- 5700 W Genesee St
Suite 201
Camillus, NY 13031-3200 - Phone
- (315) 488-5588
- Fax
- (315) 488-2489
- NPI assigned
- Feb 8, 2007
- Last updated
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ovid O. Neulander, M.D.
- Title
- Senior Partner
- Phone
- (315) 488-5588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
5700 W Genesee St
Suite 201
Camillus, NY 13031-3200
Mailing address
5700 W Genesee St
Suite 201
Camillus, NY 13031-3200
Phone (315) 488-5588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00948213 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Specialist
- Camillus, NY
- NPI 1174588685
-
- Vascular Surgery Physician
- Camillus, NY
- NPI 1669420881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1881734739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 201",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-5588",
"fax_number": "315-488-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 201",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-5588",
"fax_number": "315-488-2489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES OF UPSTATE NEW YORK, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "NEULANDER",
"authorized_official_first_name": "OVID",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "315-488-5588",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00948213",
"state": "NY"
}
],
"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 Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.