Active NPI
Upstate Orthopedics, LLP
- Durable Medical Equipment & Medical Supplies
- East Syracuse, NY
National Provider Identifier
1912448713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 146522
- Legal business name
- UPSTATE ORTHOPEDICS, LLP
- Practice address
- 6620 Fly Rd
Ste 200
East Syracuse, NY 13057-9791 - Phone
- (315) 464-4472
- NPI assigned
- Mar 13, 2017
- Last updated
- Mar 13, 2017
- 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
- Dr. Stephen A Albanese, MD
- Title
- Department Chariman
- Phone
- (315) 464-4472
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 146522 | NY | Primary |
Addresses
Primary practice location
6620 Fly Rd
Ste 200
East Syracuse, NY 13057-9791
Mailing address
6620 Fly Rd
Ste 200
East Syracuse, NY 13057-9791
Phone (315) 464-4472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03007554 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930045511 | NY | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1456344514 | Practice locations: East Syracuse, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1871290445
1456344514
National Provider Directory
National Provider Directory- Tax ID family
- Upstate Orthopedics LLP
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Orthopedic Medical Service Group
- Orthopaedic Surgery Physician
- Manlius, NY
- NPI 1285740613
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1871290445
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Orthopaedic Surgery Physician
- East Syracuse, NY
- NPI 1952305369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1912448713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 FLY RD",
"address_2": "STE 200",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579791",
"telephone_number": "315-464-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 FLY RD",
"address_2": "STE 200",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579791",
"telephone_number": "315-464-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE ORTHOPEDICS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "ALBANESE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DEPARTMENT CHARIMAN",
"authorized_official_telephone_number": "315-464-4472",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "146522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03007554",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
- Tsa Physical Therapy PC
- Hillary Tupper, RPA
- University Hill Gastroenterology Associates, P.C.
- Upstate Orthopedics Ambulatory Surgery Center LLC (Upstate Orthopedics ASC)
- Upstate Orthopedics, LLP
- Janet Marie Urban, MS SPECIAL EDUCATION
- Leo Urbinelli, M.D., M.A.
- Alyssa Urteaga
- Jodi Lynne Valentine-Sanson, LCSWR
- Emily Valentino, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.