Organization Active NPI

Advanced ENT Physicians & Surgeons of Cny PC

  • Otolaryngology Physician
  • Syracuse, NY
National Provider Identifier
1891827663
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ADVANCED ENT PHYSICIANS & SURGEONS OF CNY PC
Practice address
100 Intrepid LN
Syracuse, NY 13205-2546
Phone
(315) 671-8796
Fax
(315) 637-3694
NPI assigned
Mar 9, 2007
Last updated
Oct 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Authorized official

Name
Mrs. Sophia Nojaim
Title
Administrator
Phone
(315) 671-8796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

100 Intrepid LN
Syracuse, NY 13205-2546

Mailing address

100 Intrepid LN
Syracuse, NY 13205-2546
Phone (315) 671-8796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000236 NY Part B Supplier - Clinic/Group Practice 9436233848 Receives reassigned benefits from 3 practitioners
Practice locations: Camillus, NY; Fayetteville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1891827663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052546",
            "telephone_number": "315-671-8796",
            "fax_number": "315-637-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052546",
            "telephone_number": "315-671-8796",
            "fax_number": "315-637-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENT PHYSICIANS & SURGEONS OF CNY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "NOJAIM",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-671-8796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "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 Oct 5, 2025; 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.