UPSTATE UNIVERSITY HOSPITAL (NPI# 1154584688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154584688 |
| Entity Type | Organization |
| Organization Name | UPSTATE UNIVERSITY HOSPITAL |
| Practice Address |
750 E Adams St Syracuse NY 13210-2342 |
| Mailing Address |
460 S Main St Apt 246 North Syracuse NY 13212-3050 |
| Practice Telephone | 3154645800 |
| Mailing Telephone | 3154503567 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. RANDA KHAIRALLAH (PRIVATE PHYSICIAN) |
| Authorized Official Telephone | 3154645800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
NOT YET LICENSED | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609102 | Upstate University Hospital | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-06-03 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
| 1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
| 1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
| 1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
| 1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
| 1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
| 1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
| 1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
| 1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
| 1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952551897 | Suny Upstate | General Acute Care Hospital | 750 East Adams St, Syracuse, NY 13210 | 2008-09-29 |
| 1437309846 | Suny Upstate Medical University Hospital | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-09-22 |
| 1144484056 | Suny Upstate Medical University | General Acute Care Hospital | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404819 | Liliana Burdea | General Acute Care Hospital | 224 E 149th St, Bronx, NY 10451-5504 | 2015-08-04 |
| 1588041628 | Westchester Medical Center | General Acute Care Hospital | 1935 Eastchester Rd Apt 3d, Bronx, NY 10461-2142 | 2015-04-28 |
| 1285041160 | New York Presbyterian Hospital | General Acute Care Hospital | 106 W 96th St Apt 2b, New York, NY 10025-6409 | 2014-07-12 |
| 1326464355 | Morgan Stanley Children's Hospital | General Acute Care Hospital | 3959 Broadway, Chn - 1102, New York, NY 10032-0000 | 2014-03-14 |
| 1093066011 | New York City Health Hosptial Corporation | General Acute Care Hospital | 1901 1st Ave Ste 6m22, New York, NY 10029-7404 | 2012-10-01 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1003195652 | Montefiore Medical Center | General Acute Care Hospital | 4 Pondview Close, Chappaqua, NY 10514-3703 | 2011-08-14 |
| 1821309691 | Winthrop University Hospital | General Acute Care Hospital | 58 6th Ave, Mineola, NY 11501-4114 | 2010-06-27 |
| 1710201512 | Suny Downstate Medical Center | General Acute Care Hospital | 450 Clarkson Ave Ste D, Brooklyn, NY 11203-2012 | 2010-03-23 |
| 1164688826 | New York Presbyterian Hospital | General Acute Care Hospital | 3959 Broadway # Bhn-616, Department of Pediatric Psychiatry, New York, NY 10032-1559 | 2008-08-01 |
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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.