SYRACUSE VA MEDICAL CENTER (NPI# 1003901570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003901570 |
| Entity Type | Organization |
| Organization Name | SYRACUSE VA MEDICAL CENTER |
| Other Organization Name | HOSPITAL |
| Practice Address |
800 Irving Ave Syracuse NY 13204 |
| Practice Telephone | 3154254400 |
| Mailing Telephone | 3154254400 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NANCY LEROY (HIMM COMPLICANCE OFFICER) |
| Authorized Official Telephone | 3154254400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 72052305 | NY | Hospital Units |
| Other Name | Type Code |
|---|---|
| HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083781009 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Avenue Bvac 116, Syracuse Va Medical Center, Syracuse, NY 13210-2716 | 2006-11-29 |
| 1427153220 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Bvac (116), Syracuse, NY 13210-2716 | 2006-09-14 |
| 1659389518 | Syracuse Va Medical Center | Military Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-08-04 |
| 1609896786 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-07-20 |
| 1588682108 | Syracuse Va Medical Center | General Acute Care Hospital | 800 Irving Ave, Syracuse, NY 13210-2716 | 2006-07-18 |
| 1366469389 | Syracuse Va Medical Center | General Acute Care Hospital | 1031 E Fayette St, Syracuse, NY 13210-1022 | 2006-07-16 |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1306458229 | Benjamin Robert Bratek | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-08-21 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1295386753 | Judith Kenific | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-26 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841248713 | Suny Healthscience Center At Syracuse | Rehabilitation Unit | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-05-04 |
| 1578557583 | Community General Hospital of Greater Syracuse | Rehabilitation Unit | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1205297009 | Big N Little Corp | Rehabilitation Unit | 1208 Avenue M Ste 2504, Brooklyn, NY 11230-5204 | 2016-03-08 |
| 1437548021 | Professional Caring Hands | Rehabilitation Unit | 129 Vernon Ave, Mount Vernon, NY 10553-1811 | 2015-01-20 |
| 1386040053 | James Pronesti Audiology Consultant Pllc | Rehabilitation Unit | 9402 Church Ave, Box 121058, Brooklyn, NY 11212-1679 | 2014-11-07 |
| 1881097962 | Atlantic Adult Day Care LLC | Rehabilitation Unit | 111 W End Ave, Brooklyn, NY 11235-4808 | 2014-10-02 |
| 1730589011 | Department of Education | Rehabilitation Unit | 37 Sherman Rd, Farmingdale, NY 11735-2236 | 2014-08-24 |
| 1992137335 | Shield Physical Therapy PC | Rehabilitation Unit | 8523 Broadway, Unit D, Elmhurst, NY 11373-5866 | 2013-08-08 |
| 1689937773 | Meghan D Condron, Physical Therapy, P.C. | Rehabilitation Unit | 933 Lester Rd, Yorktown Heights, NY 10598-2923 | 2012-06-22 |
| 1427314822 | Tinytree O.t, PC | Rehabilitation Unit | 54 Knickerbocker Ave, 2j, Brooklyn, NY 11237 | 2012-04-10 |
| 1104059112 | Annalyn Lazarus | Rehabilitation Unit | 60 Madison Ave Fl 8, New York, NY 10010-1676 | 2009-08-25 |
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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.