CENTRAL NY DDSO - SYRACUSE
NPI 1114067915
Clinic/Center - Developmental Disabilities in East Syracuse, NY

Active since February 08, 2007
6007 FAIR LAKES RD, SUITE 500, EAST SYRACUSE, NY 13057(315) 473-5050 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Central Ny Ddso - Syracuse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL NY DDSO - SYRACUSE (NPI 1114067915) is a healthcare organization registered as a developmental disabilities in East Syracuse, New York and active in the NPI registry since February 2007. The organization lists Earl Jefferson, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1114067915
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSTATE OF NEW YORK COMPTROLLERS OFFICE
Location Address6007 FAIR LAKES RD, SUITE 500East Syracuse, NY 13057-1253
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartYes
Authorized OfficialEarl JeffersonDirector Of Central Operations · (518) 402-4333
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJanuary 6, 2016
✔ NPI 1114067915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in NY · 00274370
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
6007 FAIR LAKES RD, East Syracuse, NY 13057

Other Names 1

Other NameCentral Ny Ddso - Syracuse

Other Identifiers 2

Medicaid01474799NY
Medicare PINJ100173056NY

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Ny Ddso - Syracuse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040313000077Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

393

Medicare enrollment records show 393 clinicians reassign Medicare billing to Central Ny Ddso - Syracuse, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Physical Therapist in Private Practice63
Occupational Therapist in Private Practice61
Qualified Speech Language Pathologist55
Registered Dietitian or Nutrition Professional39
Nurse Practitioner38
Clinical Psychologist31
Internal Medicine28
Psychiatry13
19 other specialties65

Nearest to this location (20)

See all 393
Registered Dietitian or Nutrition Professional
NPI 1417631334
6007 FAIR LAKES RD STE 400
East Syracuse, NY 13057
(315) 234-5730
Same address
Qualified Speech Language Pathologist
NPI 1922590108
6007 FAIR LAKES RD
East Syracuse, NY 13057
(315) 234-5730
Same address
Physical Therapist in Private Practice
NPI 1821323411
907 NORTH AVE
Syracuse, NY 13206
(315) 440-5953
2.4 mi
Qualified Speech Language Pathologist
NPI 1376170753
320 GATEWAY PARK DR
North Syracuse, NY 13212
(315) 452-0392
3.6 mi
Occupational Therapist in Private Practice
NPI 1982182887
1603 COURT ST
Syracuse, NY 13208
(315) 455-7591
4.0 mi
Qualified Speech Language Pathologist
NPI 1942701495
187 NORTHERN CONCOURSE OPWDD
Syracuse, NY 13212
(315) 473-6944
4.3 mi
Physical Therapist in Private Practice
NPI 1912037813
522 WESTCOTT ST
Syracuse, NY 13210
(315) 478-0463
4.4 mi
Occupational Therapist in Private Practice
NPI 1417957622
522 WESTCOTT ST
Syracuse, NY 13210
(315) 478-0463
4.4 mi
Occupational Therapist in Private Practice
NPI 1396997540
750 E ADAMS ST
Syracuse, NY 13210
(315) 464-2300
5.0 mi
Registered Dietitian or Nutrition Professional
NPI 1730766379
7712 FOXTAIL PNES
Liverpool, NY 13090
(315) 412-2759
6.2 mi
Occupational Therapist in Private Practice
NPI 1770615577
800 S WILBUR AVE
Syracuse, NY 13204
(315) 689-1281
6.5 mi
Registered Dietitian or Nutrition Professional
NPI 1720107022
800 S WILBUR AVE
Syracuse, NY 13204
(607) 756-5637
6.5 mi
Occupational Therapist in Private Practice
NPI 1477685188
800 S WILBUR AVE
Syracuse, NY 13204
(315) 473-3129
6.5 mi
Qualified Speech Language Pathologist
NPI 1578691770
800 S WILBUR AVE
Syracuse, NY 13204
(315) 363-8970
6.5 mi
Registered Dietitian or Nutrition Professional
NPI 1396873535
800 S WILBUR AVE
Syracuse, NY 13204
(315) 598-6120
6.5 mi
Physical Therapist in Private Practice
NPI 1093845885
800 S WILBUR AVE
Syracuse, NY 13204
(607) 756-5637
6.5 mi
Physical Therapist in Private Practice
NPI 1700916590
800 S WILBUR AVE
Syracuse, NY 13204
(315) 473-5061
6.5 mi
Physical Therapist in Private Practice
NPI 1629109517
800 S WILBUR AVE
Syracuse, NY 13204
(315) 253-6283
6.5 mi
Registered Dietitian or Nutrition Professional
NPI 1275110819
4601 NIXON PARK DR
Syracuse, NY 13215
(315) 473-5071
9.5 mi
Registered Dietitian or Nutrition Professional
NPI 1215304381
4601 NIXON PARK DR
Syracuse, NY 13215
(315) 449-6923
9.5 mi
See all 393 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of New York Comptrollers Office's NPI number?

The NPI number for State Of New York Comptrollers Office is 1114067915. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Central Ny Ddso - Syracuse.

Where is State Of New York Comptrollers Office located?

State Of New York Comptrollers Office is located at 6007 Fair Lakes Rd Suite 500, East Syracuse, NY 13057. The listed phone number is (315) 473-5050.

What is State Of New York Comptrollers Office's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is State Of New York Comptrollers Office enrolled in Medicare?

Yes. State Of New York Comptrollers Office is registered in the Medicare PECOS enrollment system.

When is State Of New York Comptrollers Office's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through State Of New York Comptrollers Office?

According to the CMS Revalidation Reassignment List (October 2026 release), 393 clinicians in 27 Medicare specialties reassign their Medicare billing to State Of New York Comptrollers Office. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (63), Occupational Therapist in Private Practice (61) and Qualified Speech Language Pathologist (55). Of these, 2 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for State Of New York Comptrollers Office was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.