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ST JOSEPH'S MEDICAL PC
NPI 1609237304
Surgery - Vascular Surgery in Syracuse, NY

Active since March 09, 2016
104 UNION AVE, STE 1005, SYRACUSE, NY 13203(315) 424-0790(315) 475-0916 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Joseph's Medical Pc NPPES

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

ST JOSEPH'S MEDICAL PC (NPI 1609237304) is a healthcare organization registered as a vascular surgery in Syracuse, New York and active in the NPI registry since March 2016. The organization lists Sandra M Sulik, President, as its authorized official.

NPPES Registry Identity

NPI1609237304
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameST JOSEPH'S MEDICAL PC
Location Address104 UNION AVE, STE 1005Syracuse, NY 13203-1843
Mailing Address5100 W Taft Rd, Ste 1dLiverpool, NY 13088-3807 · (315) 744-1865 · Fax (315) 744-1954
Phone(315) 424-0790
Fax(315) 475-0916
Organization SubpartNo
Authorized OfficialSandra M SulikPresident · (315) 744-1865
Enumeration DateMarch 9, 2016
✔ NPI 1609237304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
104 UNION AVE, Syracuse, NY 13203
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Other Identifiers 2

Medicaid03370858NY
Medicare PINJ100036677NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

ROBERT E CARLIN MD
Surgery (Vascular Surgery)
104 UNION AVE, #1005
SYRACUSE, NY 13203
Onondaga County (315) 424-0790
MEHDI A MARVASTI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 UNION AVE, SUITE 1008
SYRACUSE, NY 13203
Onondaga County (315) 422-4442
EMILY ELIZABETH VINCENTINI PA
Physician Assistant
104 UNION AVE, SUITE 1005
SYRACUSE, NY 13203
Onondaga County (315) 424-0790
CARLY DETOR NP
Nurse Practitioner
104 UNION AVE, SUITE 1001-1002
SYRACUSE, NY 13203
Onondaga County (315) 423-7192
MEHDI A MARVASTI MD PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 UNION AVE, SUITE 1008
SYRACUSE, NY 13203
Onondaga County (315) 422-4442
ST. JOSEPH'S MEDICAL PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 UNION AVE, STE 1001-1002
SYRACUSE, NY 13203
Onondaga County (315) 423-7192
MARIANNE CHRISTINE MALECKI PA
Physician Assistant (Surgical)
104 UNION AVE, SUITE 809
SYRACUSE, NY 13203
Onondaga County (315) 477-4740
AHMAD NAZEM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 UNION AVE, STE 1001-1002
SYRACUSE, NY 13203
Onondaga County (315) 423-7192

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 St Joseph's Medical PC's NPI number?

The NPI number for St Joseph's Medical PC is 1609237304. It was assigned to this organization in the NPPES registry on March 9, 2016.

Where is St Joseph's Medical PC located?

St Joseph's Medical PC is located at 104 Union Ave Ste 1005, Syracuse, NY 13203. The listed phone number is (315) 424-0790.

What is St Joseph's Medical PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for St Joseph's Medical PC was last updated on March 9, 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.