Organization Active NPI

Orthopedics East PC

  • Orthopaedic Surgery Physician
  • Syracruse, NY
National Provider Identifier
1932266806
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDICS EAST PC
Practice address
183 Intrepid Lane
Syracruse, NY 13205
Phone
(315) 251-0401
Fax
(315) 251-0405
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Daniel G. Dichristina, M.D.NPI 1689642456
Title
President
Phone
(315) 251-0401

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

183 Intrepid Lane
Syracruse, NY 13205

Mailing address

183 Intrepid Lane
Syracruse, NY 13205
Phone (315) 251-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000156 NY Part B Supplier - Clinic/Group Practice 3375512320 Receives reassigned benefits from 2 practitioners
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

6800 E Genesee St
Ste 1200
Fayetteville, NY 13066
Phone (315) 251-1006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1932266806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 INTREPID LANE",
            "city": "SYRACRUSE",
            "state": "NY",
            "postal_code": "13205",
            "telephone_number": "315-251-0401",
            "fax_number": "315-251-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 INTREPID LANE",
            "city": "SYRACRUSE",
            "state": "NY",
            "postal_code": "13205",
            "telephone_number": "315-251-0401",
            "fax_number": "315-251-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDICS EAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "DICHRISTINA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-251-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.

Verify at the official NPI Registry.