Alida A De Jong (NPI# 1013912153, PAC ID# 2163489808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013912153 |
| PAC ID by PECOS | 2163489808 |
| Professional Enrollment ID | I20041215000014 |
| Full Name | Alida A De Jong |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Address |
90 Presidential Plz Syracuse NY 13202-2240 |
| Phone Number | 3154644686 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800185711 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 90 Presidential Plz, Syracuse, NY 13202-2240 | 3154644686 | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Organization Legal Name | UPSTATE FAMILY AND PREVENTIVE MEDICINE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Lax | Family Medicine | Upstate Family and Preventive Medicine Inc | 6712 Brooklawn Pkwy, Suite 204, Syracuse, NY 13211-2158 |
| Catherine Fessenden | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| James L Greenwald | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Annamaria C Arias | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Abigail Brunner | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 208 Township Blvd, Camillus, NY 13031-1674 |
| Heather Finn | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Igor A Kraev | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| Raechel Dick | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Joseph A Cincotta | Family Medicine | Upstate Family and Preventive Medicine Inc | 4900 Broad Rd, Syracuse, NY 13215-2265 |
| R Eugene Bailey | Family Medicine | Upstate Family and Preventive Medicine Inc | 475 Irving Ave, Suite 300, Syracuse, NY 13210-1528 |
| Street Address |
90 PRESIDENTIAL PLZ |
| City | SYRACUSE |
| State | NY |
| Zip | 13202-2240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice M Agen | Nurse Practitioner | University Ob/gyn Associates, Inc. | 90 Presidential Plz, Fl 3, Syracuse, NY 13202-2240 |
| William Difilippo | Nephrology | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Elizabeth G Hall | Nurse Practitioner | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Catherine Fessenden | Nurse Practitioner | Upstate Family and Preventive Medicine Inc | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Anish Desai | Pulmonary Disease | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Sheetal Rayancha | Rheumatology | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Melanie Lape Pitts | Nurse Practitioner | Suny Health Science Center At Syracuse | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Awss Zidan | Neurology | Neurology Medical Service Group LLP | 90 Presidential Plz, Suite 4, Syracuse, NY 13202-2240 |
| Caitlin E Toomey | Internal Medicine | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Ayan Mohamed | Physician Assistant | Suny Health Science Center At Syracuse | 90 Presidential Plz, Syracuse, NY 13202-2240 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy R Lennon | Addiction Medicine | 319 E Water St, Syracuse, NY 13202-1123 | |
| Nesim Contente | Obstetrics/gynecology | Nesim Contente Md PC | 215 E Water St, Syracuse, NY 13202-1159 |
| Anna M Bailey | Psychologist, Clinical | 327 W Fayette St, Suite 310, Syracuse, NY 13202-1279 | |
| Miron A Iosilevich | Psychiatry | 327 W Fayette St, Suite 206, Syracuse, NY 13202-1279 | |
| Douglas D Goldschmidt | Clinical Social Worker | 430 E Genesee St, Suite 110, Syracuse, NY 13202-2155 | |
| Celia A Kamps | Clinical Social Worker | Psychiatry Faculty Practice Inc | 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195 |
| Brian D Johnson | Psychiatry | Psychiatry Faculty Practice Inc | 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195 |
| Sunny P Aslam | Psychiatry | Psychiatry Faculty Practice Inc | 600 E Genesee St, Suite 108, Syracuse, NY 13202-2195 |
| Sara Tg Ali | Neurology | Neurology Medical Service Group LLP | 90 Presidential Plz, Suite 4, Syracuse, NY 13202-2240 |
| Christos Carvounis | Internal Medicine | Department of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 90 Presidential Plz, 2nd, Syracuse, NY 13202-2240 |
| Find all physicians in zip 13202 | |||
| City | SYRACUSE |
| Zip Code | 13202 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SYRACUSE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alida A De Jong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.