Active NPI
Philip T Ondocin, M.D.
- Nephrology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 209513
- Practice address
- 1304 Buckley Rd
Syracuse, NY 13212-4302 - Phone
- (315) 478-3311
- Fax
- (315) 426-0796
- NPI assigned
- Nov 18, 2005
- Last updated
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 209513 | NY | Primary |
Addresses
Primary practice location
1304 Buckley Rd
Syracuse, NY 13212-4302
Mailing address
1304 Buckley Rd
Syracuse, NY 13212-4302
Phone (315) 478-3311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000136409 | Other | NY | EXCELLLUS PROVIDER NUMBER |
| 02228839 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of Ny Upstate Medical University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1304 Buckley Rd
Syracuse, NY 13212-4311
1304 Buckley Rd
Suite 200
Syracuse, NY 13212-4317
Phone (315) 478-3311
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Syracuse, P.C. | Nephrology | Current | Accepting new patients |
| Central New York DC, LLC | Past | Accepting new patients |
Locations
1304 Buckley Rd
Syracuse, NY 13212
Phone (315) 478-3311
1304 Buckley Rd
Ste 200
Syracuse, NY 13212
Phone (315) 478-3311
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
721 E Genesee St
Syracuse, NY 13210
Phone (315) 478-3311
Interoperability endpoints
- pondocin@hiemail.healtheconnections.org
Organizations & group practices 2
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.
-
- Nephrology Physician
- Syracuse, NY
- NPI 1831276823
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Syracuse, NY
- NPI 1932271251
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Central New York Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Syracuse, NY
- NPI 1285978999
Dialysis facility
-
dba St. Joseph's Dialysis - Camillus
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Camillus, NY
- NPI 1548407943
Dialysis facility
-
dba St. Joseph's Dialysis - Regional
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Syracuse, NY
- NPI 1619114014
Dialysis facility
-
dba St. Joseph's Dialysis - Seneca
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Liverpool, NY
- NPI 1972740371
Dialysis facility
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1902888506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124302",
"telephone_number": "315-478-3311",
"fax_number": "315-426-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 BUCKLEY RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124302",
"telephone_number": "315-478-3311",
"fax_number": "315-426-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDOCIN",
"first_name": "PHILIP",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "209513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLLUS PROVIDER NUMBER",
"identifier": "000136409",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02228839",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.