Organization Active NPI

St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
National Provider Identifier
1942501747
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST JOSEPHS MEDICAL PC
Practice address
5100 W Taft Rd
Liverpool, NY 13088-3807
Phone
(315) 452-2828
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Meredith Price
Title
SVP Hospital Operations
Phone
(315) 448-5888

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

5100 W Taft Rd
Liverpool, NY 13088-3807

Mailing address

301 Prospect Ave
Attn: Medical Staff Office
Syracuse, NY 13203-1807
Phone (315) 744-1478

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000744 NY Part B Supplier - Clinic/Group Practice 4688855844 Receives reassigned benefits from 828 practitioners
Practice locations: Syracuse, NY; Liverpool, NY; Oneida, NY; Oswego, NY; Pulaski, NY; Rome, NY; Cicero, NY; Watertown, NY…

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 62)

8278 Willett Pkwy
Fl 2
Baldwinsville, NY 13027
Phone (315) 652-1325

5302 W Genesee St Ste 2
Camillus, NY 13031

5586 Legionnaire Dr
Ste B
Cicero, NY 13039

4000 Medical Center Dr
Ste 212
Fayetteville, NY 13066
Phone (315) 663-0059

4000 Medical Center Dr
#S15
Fayetteville, NY 13066

4000 Medical Center Dr
Ste 115
Fayetteville, NY 13066
Phone (315) 329-2555

4101 Medical Center Dr
Ste C
Fayetteville, NY 13066

4101 Medical Center Dr
Ste A
Fayetteville, NY 13066

4101 Medical Center Dr
Ste B
Fayetteville, NY 13066

4000 Medical Center Dr
#104
Fayetteville, NY 13066

4502 Medical Center Dr
Ste 502
Fayetteville, NY 13066

4101 Medical Center Dr
Ste D
Fayetteville, NY 13066

4000 Medical Center Dr
Ste 202
Fayetteville, NY 13066

4117 Medical Center Dr
#B
Fayetteville, NY 13066

4104 Medical Center Dr
Ste 104
Fayetteville, NY 13066
Phone (315) 663-0059

4101 Medical Center Dr
Ste 212
Fayetteville, NY 13066

4103 Medical Center Dr
Ste 301
Fayetteville, NY 13066

4502 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-2650

4000 Medical Center Dr
#101A
Fayetteville, NY 13066

4000 Medical Center Dr
Ste 101C
Fayetteville, NY 13066

4000 Medical Center Dr
#101C
Fayetteville, NY 13066

4301 Medical Center Dr
Ste 301
Fayetteville, NY 13066
Phone (315) 634-3399

4301 Medical Center Dr
Fayetteville, NY 13066

4101 Medical Center Dr
Ste 101
Fayetteville, NY 13066
Phone (315) 329-7378

4000 Medical Center Dr
Ste 502
Fayetteville, NY 13066
Phone (315) 703-2780

Practitioners & affiliated clinicians

Practitioners 948

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

View all 948

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1942501747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-744-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "SVP HOSPITAL OPERATIONS",
        "authorized_official_telephone_number": "315-448-5888"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.