Active NPI
Cny Cosmetic & Reconstructive Surgery LLC
- Plastic and Reconstructive Surgery Physician
- East Syracuse, NY
National Provider Identifier
1922215979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 216811-1
- Legal business name
- CNY COSMETIC & RECONSTRUCTIVE SURGERY LLC
- Practice address
- 5898 Bridge St
East Syracuse, NY 13057-2941 - Phone
- (315) 663-0112
- Fax
- (315) 663-0132
- NPI assigned
- May 17, 2007
- Last updated
- Nov 27, 2023
- 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
- Laura Alfieris
- Title
- Office Manager
- Phone
- (315) 663-0112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 216811-1 | NY | Primary |
Addresses
Primary practice location
5898 Bridge St
East Syracuse, NY 13057-2941
Mailing address
5898 Bridge St
East Syracuse, NY 13057
Phone (315) 663-0112
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adeboni@directaddress.net | Health Information Exchange (HIE) | |
| Direct Messaging Address | GBaum@directaddress.net | Health Information Exchange (HIE) | |
| Direct Messaging Address | kgiancola@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5898 Bridge St
East Syracuse, NY 13057
Phone (315) 663-0112
4403 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 663-0112
Interoperability endpoints
- adeboni@directaddress.net
- gbaum@directaddress.net
- kgiancola@directaddress.net
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Plastic Surgery Physician
- East Syracuse, NY
- NPI 1720083090
-
- Plastic Surgery Physician
- East Syracuse, NY
- NPI 1023106887
-
- Physician Assistant
- Oneida, NY
- NPI 1346849064
-
- Physician Assistant
- Syracuse, NY
- NPI 1962969097
-
- Surgical Physician Assistant
- East Syracuse, NY
- NPI 1326110263
-
- Medical Physician Assistant
- East Syracuse, NY
- NPI 1770588758
-
- Nurse Practitioner
- East Syracuse, NY
- NPI 1972184000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1922215979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5898 BRIDGE ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-663-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5898 BRIDGE ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572941",
"telephone_number": "315-663-0112",
"fax_number": "315-663-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNY COSMETIC & RECONSTRUCTIVE SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2023-11-27",
"certification_date": "2020-06-23",
"status": "A",
"authorized_official_last_name": "ALFIERIS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "315-663-0112"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "216811-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adeboni@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Messagin",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "5898 Bridge St",
"city": "East Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "130572941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GBaum@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "5898 Bridge St",
"city": "East Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "130572941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgiancola@directaddress.net",
"affiliation": "Y",
"endpointDescription": "Direct Messaging",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "5898 Bridge St",
"city": "East Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "130572941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.