SYRACUSE SURGERY CENTER LLC NPI 1770869927

NPI Information

  • NPI: 1770869927
  • Provider Name: SYRACUSE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 33D2035323
  • Address: 3400 VICKERY RD STE B
    N SYRACUSE, NY
    ZIP 13212
  • Phone: (315) 422-3937

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NPI Details

SYRACUSE SURGERY CENTER, LLC is an ambulatory surgical clinic center in N Syracuse, NY. SYRACUSE SURGERY CENTER, LLC NPI is 1770869927. The provider is registered as an organization entity type.

The provider's business location address is:

3400 VICKERY RD STE B
N SYRACUSE, NY
ZIP 13212-537
Phone: (315) 422-3937
Fax: (315) 422-3597

The provider's authorized official is Thomas A Bersani .
The authorized official title is Medical Director and has the following contact phone number (315) 422-3937.

The CLIA number assigned to this NPI record is 33D2035323 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of brow paralysis (HCPCS:67900)
  • Removal of growth of eyelid (HCPCS:67840)
  • Reconstruction of eyelid margin (HCPCS:67950)
  • Reconstruction of conjunctiva with graft from outer eye or rearrangement (HCPCS:68326)
  • Probing of nasal tear duct with insertion of tube or stent (HCPCS:68815)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Creation of permanent eyelid margin scarring with relocation of eyelid tissue (HCPCS:67882)
  • Repair of turning-outward eyelid defect (HCPCS:67916)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Removal of growth of cavity behind eye (HCPCS:67412)
  • Correction of widely-opened upper eyelid (HCPCS:67911)
  • Removal of up to 1/4 of eyelid margin and repair of eyelid (HCPCS:67961)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Therapeutic fracture of nasal passages (HCPCS:30930)
  • Creation of drainage tract from tear sac to nasal cavity (HCPCS:68720)
  • Biopsy of eyelid (HCPCS:67810)

The enumeration date for this NPI number is 11/1/2011 and was last updated on 4/29/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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