Active NPI
Howard J Williams, MD
- Urology Physician
- Fayetteville, NY
National Provider Identifier
1942276779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 184990
- Practice address
- 4211 Medical Center Dr
Suite 211
Fayetteville, NY 13066-6637 - Phone
- (315) 329-0210
- Fax
- (315) 329-0215
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 184990 | NY | Primary |
Addresses
Primary practice location
4211 Medical Center Dr
Suite 211
Fayetteville, NY 13066-6637
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01444742 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184990 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Urology Associates | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Syracuse, NY
- NPI 1154368629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1942276779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 MEDICAL CENTER DR",
"address_2": "SUITE 211",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130666637",
"telephone_number": "315-329-0210",
"fax_number": "315-329-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HOWARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "184990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01444742",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.