SYRACUSE MEDICAL LLC (NPI# 1891270609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891270609 |
| Entity Type | Organization |
| Organization Name | SYRACUSE MEDICAL LLC |
| Practice Address |
5 Franklin Ave Ste 103 Belleville NJ 07109-3521 |
| Practice Telephone | 9737517752 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | WAYNE CAPUTO (MD - OWNER) |
| Authorized Official Telephone | 9737517752 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
5 FRANKLIN AVE STE 103 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740690874 | Advance Foot Care, LLC | Podiatrist | 192 Branch Brook Dr, Belleville, NJ 07109-3607 | 2014-04-28 |
| 1770615148 | Foot Surgery Center LLC | Podiatrist | 4901 W Main St, Belleville, IL 62226-4724 | 2007-03-12 |
| 1811078884 | Wendy K. Stinson Dpm | Podiatrist | 286 Union Ave, Lower Level, Belleville, NJ 07109-2053 | 2006-10-18 |
| 1699889535 | John Cozzarelli | Podiatrist | 155 Belleville Ave, Belleville, NJ 07109-2407 | 2006-08-18 |
| 1699715094 | Victor L Horsley | Podiatrist | 4901 West Main, Belleville, IL 62226 | 2006-06-07 |
| 1316398613 | Annette Buron | Podiatrist | 155 Belleville Ave, Belleville, NJ 07109-2407 | 2016-06-28 |
| 1649620634 | Neil Ermitano | Podiatrist | 2900 Frank Scott Pkwy W Ste 900, Belleville, IL 62223-5000 | 2016-06-21 |
| 1740653591 | Associated Foot Surgeons of Southwest Illinois, Ltd. | Podiatrist | 2900 Frank Scott Pkwy W, Ste 900, Belleville, IL 62223-5000 | 2015-11-02 |
| 1114289121 | Amanda M Hart | Podiatrist | 2900 Frank Scott Pkwy W, Suite 900, Belleville, IL 62223-5000 | 2012-06-14 |
| 1710147236 | Jeffrey S Boberg Dpm LLC | Podiatrist | 180 S 3rd St, Ste 103, Belleville, IL 62220-1952 | 2008-06-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.