Central New York Surgical, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CENTRAL NEW YORK SURGICAL, PC

Practice address

2202 Genesee St
Utica, NY 13502-5809

Phone

(315) 732-0349

Fax

(315) 732-0309

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Blom, M.D.NPI 1376501940

Title

Owner

Phone

(315) 732-0349

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Dennis Blom, MD

  • Surgery Physician
  • Utica, NY
  • NPI 1376501940
  Authorized official Same address or phone
• Louis E Debroize, PH.D.

  • Mental Health Counselor
  • Utica, NY
  • NPI 1578881744
  NPD (past)
• Kumar D Bahl, MD

  • Neurology Physician
  • Roanoke, VA
  • NPI 1093978934
  NPD (past)

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1922357714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025809",
            "telephone_number": "315-732-0349",
            "fax_number": "315-732-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025809",
            "telephone_number": "315-732-0349",
            "fax_number": "315-732-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK SURGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-732-0349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central New York Cardiology, PC
• Central New York Health Home Network, LLC
• Central New York Services, Inc.
• Central New York Services, Inc.
• Central New York Services, Inc.
• Central New York Wheelchair Transportation Inc
• Central Ny Mental Health Services
• Centrex Clinical Laboratories Inc
• Daniel Robert Cerio, DMD
• Joseph Michael Cerio, LCSW

• Surgery Physician in Utica, NY
• Providers in Utica, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.