Suny Upstate Medical Center

Primary specialty

Women's HospitalTaxonomy code 282NW0100X

Legal business name

SUNY UPSTATE MEDICAL CENTER

Practice address

750 E Adams St
Syracuse, NY 13210-2342

Phone

(131) 546-4400

NPI assigned

Jan 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rachana George, MD

Title

Pgy-1

Phone

(315) 441-7117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1962649160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GLENLYNN CT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903913",
            "telephone_number": "131-529-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "131-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY UPSTATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "RACHANA",
        "authorized_official_title_or_position": "PGY-1",
        "authorized_official_telephone_number": "13154417117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suny Health Science Center at Syracuse
• Suny Health Science Center at Syracuse
• Suny Upstate
• Suny Upstate
• Suny Upstate
• Suny Upstate Medical University
• Suny Upstate Medical University
• Suny Upstate Medical University Hospital
• Suny Upstate University Hospital
• Brandi Supernault

• General Acute Care Hospital in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; 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.