NPIMap

Organization Active NPI

Associates for Women'S Medicine PLLC

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1942258702
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ASSOCIATES FOR WOMEN'S MEDICINE PLLC
Practice address
770 James St
Syracuse, NY 13203-2117
Phone
(315) 422-2222
Fax
(315) 472-8497
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Richard N Waldman, M.D.
Title
President
Phone
(315) 423-9657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

770 James St
Syracuse, NY 13203-2117

Mailing address

792 N Main St
Suite 100a
North Syracuse, NY 13212-1644
Phone (315) 423-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000302 NY Part B Supplier - Clinic/Group Practice 4880677400 Receives reassigned benefits from 21 practitioners
Practice locations: North Syracuse, NY; Syracuse, NY; Fayetteville, NY

National Provider Directory

National Provider Directory

Locations

5700 W Genesee St
Ste 9
Camillus, NY 13031

4000 Medical Center Dr
Ste 302
Fayetteville, NY 13066

4101 Medical Center Dr
Ste 302
Fayetteville, NY 13066
Phone (315) 329-7222

4820 W Taft Rd
Ste 208
Liverpool, NY 13088
Phone (315) 413-0004

792 N Main St
Ste 100D
North Syracuse, NY 13212
Phone (315) 703-8001

792 N Main St
Ste 200D
North Syracuse, NY 13212

792 N Main St
Ste 100A
Syracuse, NY 13212

935 James St
Syracuse, NY 13203

792 N Main St
Ste B
Syracuse, NY 13212

792 N Main St
Ste 200C
Syracuse, NY 13212
Phone (315) 458-0500

Practitioners & affiliated clinicians

Practitioners 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1942258702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "SUITE 100A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-423-9722",
            "fax_number": "315-423-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032117",
            "telephone_number": "315-422-2222",
            "fax_number": "315-472-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR WOMEN'S MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-423-9657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 6, 2011; 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.