UPSTATE MEDICAL UNIVERSITY (NPI# 1033427430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033427430 |
| Entity Type | Organization |
| Organization Name | UPSTATE MEDICAL UNIVERSITY |
| Practice Address |
750 E Adams St Ste 2104 Syracuse NY 13210-2342 |
| Practice Telephone | 3154642300 |
| Practice Fax Number | 3154642305 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | DR. JOHN MCCABE (CEO) |
| Authorized Official Telephone | 3154642305 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 016272 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063702785 | Upstate Medical University | General Acute Care Hospital | 750 E Adams St, Suite 2104, Syracuse, NY 13210-2342 | 2011-04-14 |
| 1487819504 | Upstate Medical University | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-07-29 |
| Street Address |
750 E ADAMS ST STE 2104 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598091514 | Angela Dawn Gitner | Physical Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2342 | 2009-10-27 |
| 1407482060 | Elizah Duncan Feathers | Clinic/Center | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2020-03-16 |
| 1548803059 | Haley Vastbinder | Occupational Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2019-10-28 |
| 1992348411 | Gary Robert Bova | Occupational Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2019-10-28 |
| 1245880434 | Chelsea Martin | Physical Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2019-09-19 |
| 1326523200 | Nicholas Pan Dematteo | Physical Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2018-09-26 |
| 1124501614 | Courtney Beckwith | Occupational Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2018-09-11 |
| 1780179325 | Rachel Queener | Occupational Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2018-06-26 |
| 1417323130 | Lee William Berube | Physical Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2015-08-17 |
| 1346631082 | Jun Xin Liu | Occupational Therapist | 750 E Adams St Ste 2104, Syracuse, NY 13210-2306 | 2015-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871977801 | Nicole Marie Conese | Rehabilitation Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-07-20 |
| 1710254602 | Suny Upstate University Hospital | Rehabilitation Hospital | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558808469 | Vets Care | Rehabilitation Hospital | 2698 8th Ave, New York, NY 10030-1219 | 2017-01-30 |
| 1477900926 | Shannon Blake | Rehabilitation Hospital | 55 N Exchange St, Geneva, NY 14456-1237 | 2016-05-14 |
| 1225401094 | No Name Given Youdon | Rehabilitation Hospital | 9220 51st Ave, Elmhurst, NY 11373-4014 | 2015-11-02 |
| 1841669900 | Montefiore | Rehabilitation Hospital | 600 E. 233rd, Bronx, NY 10466 | 2015-09-18 |
| 1205228087 | Brian Gariepy | Rehabilitation Hospital | 1426 Promised Land Acres, Olean, NY 14760-9417 | 2015-03-03 |
| 1790031797 | Nyu Langone Medical Center/ Rusk Institute of Rehabilitation Medicine | Rehabilitation Hospital | 400 E 34th St Rm 515, New York, NY 10016-4901 | 2012-07-27 |
| 1831468685 | Nassau University Medical Center | Rehabilitation Hospital | 33 W Dover St, Valley Stream, NY 11580-4128 | 2011-12-23 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1073897005 | Blandy Leonard | Rehabilitation Hospital | 1048 E 84th St, Brooklyn, NY 11236-4228 | 2011-10-10 |
| 1053617712 | Chopra Physician Pllc | Rehabilitation Hospital | 25a Barnum Ave, Plainview, NY 11803-6005 | 2011-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.