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MS. JENNIFER DAWN STANGER M.D.
NPI 1366840787
Surgery - Pediatric Surgery in Syracuse, NY

Active since December 17, 2014PECOS Enrolled
725 IRVING AVENUE, SUITE 401, SYRACUSE, NY 13210(315) 464-2878(315) 464-2879 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jennifer Dawn Stanger M.d. NPPES

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

MS. JENNIFER DAWN STANGER M.D. (NPI 1366840787) is an individual pediatric surgery provider in Syracuse, New York, licensed in New York (277238) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366840787
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMS. JENNIFER DAWN STANGERCredential: M.D.
Location Address725 IRVING AVENUE, SUITE 401Syracuse, NY 13210
Mailing Address725 Irving Avenue, Suite 401Syracuse, NY 13210 · (315) 464-2878 · Fax (315) 464-2879
Phone(315) 464-2878
Fax(315) 464-2879
Sole ProprietorNo
Enumeration DateDecember 17, 2014
✔ NPI 1366840787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in NY · 277238
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
725 IRVING AVENUE, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Dawn Stanger M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Stanger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Surgical Associates, LLP
0.3 mi
Surgery
750 E ADAMS ST, STE. 8140
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 115 clinicians in this Medicare group
NPI 1376590117 (315) 464-1800

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY FREUND PA
Physician Assistant
725 IRVING AVENUE, SUITE 401
SYRACUSE, NY 13210
Onondaga County (315) 464-2878
DR. STEPHEN J THOMAS MD
Internal Medicine (Infectious Disease)
725 IRVING AVENUE, SUITE 314
SYRACUSE, NY 13210
Onondaga County (315) 464-9360
VICTORIA V OKHMAN NP
Nurse Practitioner (Pediatrics)
725 IRVING AVENUE, STE 504
SYRACUSE, NY 13210
Onondaga County (315) 464-8444

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 Jennifer Stanger's NPI number?

The NPI number for Jennifer Stanger is 1366840787. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Where is Jennifer Stanger located?

Jennifer Stanger practices at 725 Irving Avenue Suite 401, Syracuse, NY 13210. The listed phone number is (315) 464-2878.

What is Jennifer Stanger's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jennifer Stanger enrolled in Medicare?

Yes. Jennifer Stanger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Stanger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Stanger reassigns Medicare benefits to University Surgical Associates, LLP (Syracuse, NY). The 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 Jennifer Stanger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Stanger was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.