Organization Active NPI

Syracuse Medical LLC

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
National Provider Identifier
1891270609
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SYRACUSE MEDICAL LLC
Practice address
5 Franklin Ave Ste 103
Belleville, NJ 07109-3521
Phone
(973) 751-7752
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Wayne Caputo, MD
Title
MD - Owner
Phone
(973) 751-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

5 Franklin Ave Ste 103
Belleville, NJ 07109-3521

Mailing address

5 Franklin Ave Ste 103
Belleville, NJ 07109-3521

National Provider Directory

National Provider Directory

Locations

5 Franklin Ave
Ste 103
Belleville, NJ 07109
Phone (973) 751-2011

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1891270609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE STE 103",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE STE 103",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093521",
            "telephone_number": "973-751-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MD - OWNER",
        "authorized_official_telephone_number": "973-751-7752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.