Simardeep S Mangat (NPI# 1063518074, PAC ID# 8628147568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1063518074 |
| PAC ID by PECOS | 8628147568 |
| Professional Enrollment ID | I20080519000777 |
| Full Name | Simardeep S Mangat |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C. |
| Address |
1304 Buckley Rd Suite 200 Syracuse NY 13212-4317 |
| Phone Number | 3154783311 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2769379015 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| 330203 | CROUSE HOSPITAL |
| 330115 | ONEIDA HEALTHCARE CENTER |
| 330218 | OSWEGO HOSPITAL |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 | 3154783311 | NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C. |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF SYRACUSE, P.C. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Kertesz | Registered Dietitian Or Nutrition Professional | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Marcia H Ryder | Nurse Practitioner | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Jacquelyn A Spencer | Nurse Practitioner | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Adebowale O Oguntola | Internal Medicine | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Antoine Azar | Internal Medicine | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Tracy A Oneill | Physician Assistant | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Matthew Chaffin | Nephrology | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Bala K Murthy | Nephrology | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Alyssa C Miles | Physician Assistant | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Joanna Woodruff | Nurse Practitioner | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Street Address |
1304 BUCKLEY RD SUITE 200 |
| City | SYRACUSE |
| State | NY |
| Zip | 13212-4317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Kertesz | Registered Dietitian Or Nutrition Professional | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Elias S Abboud | Optometry | Leslie D. Woodcock, Jr., M.d., Pllc | 1304 Buckley Rd, Suite 205, Syracuse, NY 13212-4317 |
| Marcia H Ryder | Nurse Practitioner | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Jacquelyn A Spencer | Nurse Practitioner | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Adebowale O Oguntola | Internal Medicine | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Antoine Azar | Internal Medicine | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Tracy A Oneill | Physician Assistant | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Matthew Chaffin | Nephrology | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Bala K Murthy | Nephrology | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Alyssa C Miles | Physician Assistant | Nephrology Associates of Syracuse, P.C. | 1304 Buckley Rd, Suite 200, Syracuse, NY 13212-4317 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cash | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Adam Joseph Ryan | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Erin M. Carroll | Nurse Practitioner | Familycare Medical Group PC | 792 N Main St, 200a, North Syracuse, NY 13212-1644 |
| Stephanie Grethel | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Barry Rabin | Ophthalmology | 792 N Main St, North Syracuse, NY 13212-1644 | |
| Kyle R Adams | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Elizabeth Ann Yates Horton | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Drew D Nelson | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Bethanie K Muraski | Nurse Practitioner | Familycare Medical Group PC | 792 N Main St, 200a, North Syracuse, NY 13212-1644 |
| Nathan Charles Loughlin | Physical Therapy | Primary Physical Therapy | 792 N Main St, North Syracuse, NY 13212-1644 |
| Find all physicians in zip 13212 | |||
| City | SYRACUSE |
| Zip Code | 13212 |
| Specialty | NEPHROLOGY |
| City + Specialty | SYRACUSE + NEPHROLOGY |
Please comment or provide details below to improve the information on Simardeep S Mangat.
| 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.