UNIVERSITY PEDIATRICS NPI 1013021617

NPI Information

  • NPI: 1013021617
  • Provider Name: UNIVERSITY PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1200 E GENESEE ST
    STE 209
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 471-4196

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NPI Details

UNIVERSITY PEDIATRICS is a pediatrics in Syracuse, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. UNIVERSITY PEDIATRICS NPI is 1013021617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 E GENESEE ST
STE 209
SYRACUSE, NY
ZIP 13210-968
Phone: (315) 471-4196
Fax: (315) 471-0845

The provider's authorized official is George S Starr .
The authorized official title is President and has the following contact phone number (315) 471-4196.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics101656NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101817454MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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