DR. JENICA O'MALLEY


Address: 90 Presidental Plaza 3rd Fl, Syracuse, NY 13202
Phone: 3154644357

DR. JENICA O'MALLEY (NPI# 1285995324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285995324
Entity Type Individual
Full Name DR. JENICA O'MALLEY
Credential D.O.
Practice Address 90 Presidental Plaza 3rd Fl
Syracuse
NY 13202
Mailing Address 251 Salina Meadows Pkwy Ste 100
Syracuse
NY 13212-4516
Practice Telephone 3154644357
Practice Fax Number 3154642030
Mailing Telephone 3154642000
Mailing Fax Number 3154642010
Enumeration Date 2012-06-05
Last Update Date 2016-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 279084 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 04277845 05

Office Location

Street Address 90 PRESIDENTAL PLAZA 3RD FL
City SYRACUSE
State NY
Zip Code 13202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
1851873640 Syracuse Community Health Center, Inc. Case Management 819 South Salina Street, Syracuse, NY 13202 2018-08-29
1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
Find all providers in zip 13202

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386194967 Diane B Montgomery Pediatrics 1045 James St Ste 270, Syracuse, NY 13203-2791 2016-10-07
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
1760700108 Christopher John Prendergast Pediatrics 725 Irving Ave Ste 804, Syracuse, NY 13210-1682 2010-05-10
1407007628 Ahmad Ismail El Samra Pediatrics 600 James St, Apt 603, Syracuse, NY 13203-2254 2008-10-07
1235347915 Frederick Goldberg Pediatrics Community General Hospital, 4900 Broad Road, Syracuse, NY 13215 2007-05-18
1679780308 Juanita M Welnicki Pediatrics 5062 Skyline Dr, Syracuse, NY 13215-2444 2007-05-16
1801985262 Nicholas T Massa Pediatrics 475 Irving Ave Ste 210, Syracuse, NY 13210-1529 2006-10-12
1992714117 Shailaja Potdar Pediatrics 603 Oswego St, Syracuse, NY 13204-3127 2006-08-05
1801828785 Deborah Ann Goldman Pediatrics 720 Irving Ave, Suite 504, Upstate Medical University, Syracuse, NY 13210 2006-07-07
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13202

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Dataset Information

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.

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