NEW YORK SPINE AND WELLNESS CENTER
NPI 1023497203
Durable Medical Equipment & Medical Supplies in Camillus, NY

Active since May 21, 2015
5417 WEST GENESEE STREET, SUITE 1, CAMILLUS, NY 13031(315) 432-4900(315) 488-2397 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About NEW YORK SPINE AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for New York Spine And Wellness Center, a provider established in Camillus, New York operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1023497203 assigned on May 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as New York Spine And Wellness Center. The authorized official of this NPI record is Robert L. Tiso M.d (Md)

NPI
1023497203 Verify this NPI
Provider Legal Name
NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, PC
Other Organization Name
NEW YORK SPINE AND WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5417 WEST GENESEE STREET SUITE 1 CAMILLUS, NY 13031
Location Phone
(315) 432-4900
Location Fax
(315) 488-2397
Mailing Address
PO BOX 510 SYRACUSE, NY 13214
Mailing Phone
(315) 703-3480
Mailing Fax
(315) 703-3481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2015
Last Update Date
05-21-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT L. TISO M.D

Authorized Official Title
MD
Authorized Official Phone
(315) 552-6700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AA0670MEDICARE PIN (08)NY 
03423585MEDICAID (05)NY 

Reviews for NEW YORK SPINE AND WELLNESS CENTER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023497203, enumerated as an "organization" on May 21, 2015.

The provider is located at 5417 WEST GENESEE STREET SUITE 1 CAMILLUS, NY 13031 and the phone number is (315) 432-4900.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.