Organization Active NPI

Daniel L. Dombroski, M.D., P.C.

  • Specialist
  • Syracuse, NY
National Provider Identifier
1922281872
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
086934-1 Issued in NY
Legal business name
DANIEL L. DOMBROSKI, M.D., P.C.
Practice address
Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215
Phone
(315) 492-5777
Fax
(315) 492-5892
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Marianne Dillon
Title
Office Manager
Phone
(315) 488-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 086934-1 NY Primary

Addresses

Primary practice location

Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215

Mailing address

Physicians Office BLDG. N. Ste. 4U
Community General Hospital
Syracuse, NY 13215
Phone (315) 492-5777

Other identifiers 1

IdentifierTypeStateIssuer
00560921MedicaidNY

National Provider Directory

National Provider Directory

Locations

5700 W Genesee St
Ste 201
Camillus, NY 13031
Phone (315) 488-5588

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1922281872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHYSICIANS OFFICE BLDG. N. STE. 4U",
            "address_2": "COMMUNITY GENERAL HOSPITAL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-492-5777",
            "fax_number": "315-492-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICIANS OFFICE BLDG. N. STE. 4U",
            "address_2": "COMMUNITY GENERAL HOSPITAL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-492-5777",
            "fax_number": "315-492-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L. DOMBROSKI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-488-5588"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "086934-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00560921",
            "state": "NY"
        }
    ],
    "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 Dec 14, 2007; 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.