Samuel S. Badalian MD PC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

211964 Issued in NY

Legal business name

SAMUEL S. BADALIAN MD PC

Practice address

104 Union Ave
Suite 803
Syracuse, NY 13203-0000

Phone

(315) 472-6935

Fax

(315) 472-6936

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Cindy Foley

Title

Office Manager

Phone

(315) 472-6935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Wiley Douglas Bunn Jr., MD

  • Gynecologic Oncology Physician
  • Syracuse, NY
  • NPI 1902982473
  NPD (past)
• Abdulghaffar Musa, M.D.

  • Gynecologic Oncology Physician
  • Syracuse, NY
  • NPI 1780675645
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1902095086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UNION AVE",
            "address_2": "SUITE 803",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132030000",
            "telephone_number": "315-472-6935",
            "fax_number": "315-472-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVE",
            "address_2": "SUITE 803",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132030000",
            "telephone_number": "315-472-6935",
            "fax_number": "315-472-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL S. BADALIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-472-6935"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "211964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01923284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sami Samain, MD
• Sharjeel Khan Samejo, MD
• Bradley Sammut, ATC
• Venkata Satish Kumar Sampathi, MBBS
• Susan Samudre, D.O.
• Ankhita Samuel
• Patrice Samuels
• Sanjay A Samy, MD
• Oneeb Sanaullah, M.D.
• Michael Sanavonxay, RN BSN

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.