Individual provider Active NPI

Victoria Minyo, D.O.

  • Neurology Physician
  • Syracuse, NY
National Provider Identifier
1992140768
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
301146 Issued in NY
Practice address
175 Elizabeth Blackwell Street
814 Jacobson Hall
Syracuse, NY 13210
Phone
(315) 464-5302
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 301146 NY Primary
Neurology Physician 2084N0400X OT015196 PA

Addresses

Primary practice location

175 Elizabeth Blackwell Street
814 Jacobson Hall
Syracuse, NY 13210

Mailing address

175 Elizabeth Blackwell Street
814 Jacobson Hall
Syracuse, NY 13210
Phone (315) 464-5302

Other practice location 1

90 Presidential Plz
Syracuse, NY 13202-2240
Phone (315) 464-4243

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL SYRACUSE
Other URL SYRACUSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191011000908 NY Practitioner - Neurology 4880972868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Medical Service Group LLPGroup PAC ID 7214928035, 39 clinicians

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599

90 Presidential PLZ
Suite 4
Syracuse, NY 13202-2240
Phone (315) 464-4243

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medical Service Group, LLP Neurology CurrentSince Sep 23, 2019 Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Neurology CurrentSince Feb 12, 2024 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836

90 Presidential Plz
#4
Syracuse, NY 13202
Phone (315) 464-4243

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vtitoff92808@direct.upstate.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1992140768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ELIZABETH BLACKWELL STREET",
            "address_2": "814 JACOBSON HALL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ELIZABETH BLACKWELL STREET",
            "address_2": "814 JACOBSON HALL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Presidential Plz",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132022240",
            "country_code": "US",
            "telephone_number": "315-464-4243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINYO",
        "first_name": "VICTORIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "301146",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OT015196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SYRACUSE",
            "affiliation": "N",
            "address_1": "175 Elizabeth Blackwell Street",
            "address_2": "814 Jacobson Hall",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SYRACUSE",
            "affiliation": "N",
            "endpointDescription": "titoffv@upstate.edu",
            "address_1": "175 Elizabeth Blackwell Street",
            "address_2": "814 Jacobson Hall",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.