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DR. JOHN R FAZIO M.D.
NPI 1619960721
Pathology - Anatomic Pathology & Clinical Pathology in Syracuse, NY

Active since August 24, 2005PECOS Enrolled
4900 BROAD RD, PATHOLOGY DEPT, SYRACUSE, NY 13215(315) 492-5096 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John R Fazio M.d. NPPES

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

DR. JOHN R FAZIO M.D. (NPI 1619960721) is an individual anatomic pathology & clinical pathology provider in Syracuse, New York, licensed in New York (191793) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619960721
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOHN R FAZIOCredential: M.D.
Location Address4900 BROAD RD, PATHOLOGY DEPTSyracuse, NY 13215-2265
Mailing Address4567 Crossroads Park Dr, 2nd FlLiverpool, NY 13088-3589
Phone(315) 492-5096
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1619960721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 191793
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4900 BROAD RD, Syracuse, NY 13215
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Other Identifiers 2

Medicare PINDD0593
Medicare UPINF53514NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John R Fazio 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

IANNA JAVIER GARCIA OTR/L
Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5011
ROBERT A WORDEN CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
HEIDI GLOVACK CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5553
JOHN F MURPHY CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 470-7828
MS. TERRY LEE WHITE RN FNP
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Onondaga County (315) 492-5784
MS. SIGRID A. MARFO CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
SURJIT K DHAMOON MD PC
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Onondaga County (315) 492-5841
MR. R. THOMAS WEINHEIMER P.A.
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 251-3100

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 John Fazio's NPI number?

The NPI number for John Fazio is 1619960721. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is John Fazio located?

John Fazio practices at 4900 Broad Rd Pathology Dept, Syracuse, NY 13215. The listed phone number is (315) 492-5096.

What is John Fazio's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Fazio enrolled in Medicare?

Yes. John Fazio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Fazio was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.