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PATHOLOGY ASSOCIATES OF SYRACUSE, PC
NPI 1629061791
Pathology - Anatomic Pathology & Clinical Pathology in Syracuse, NY

Active since August 24, 2005
736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7396(315) 470-2806 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pathology Associates Of Syracuse, Pc NPPES

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

PATHOLOGY ASSOCIATES OF SYRACUSE, PC (NPI 1629061791) is a healthcare organization registered as an anatomic pathology & clinical pathology in Syracuse, New York and active in the NPI registry since August 2005. The organization lists Rachel C Elder, Medical Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629061791
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePATHOLOGY ASSOCIATES OF SYRACUSE, PC
Location Address736 IRVING AVESyracuse, NY 13210-1687
Mailing Address4567 Crossroads Park Dr, 2nd FlLiverpool, NY 13088-3589 · (315) 434-9309 · Fax (315) 454-0136
Phone(315) 470-7396
Fax(315) 470-2806
Organization SubpartNo
Authorized OfficialRachel C ElderMedical Director Of Operations · (315) 470-7396
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 17, 2007
✔ NPI 1629061791 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 · 174465
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.
736 IRVING AVE, Syracuse, NY 13210
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathology Associates Of Syracuse, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Pathology Associates Of Syracuse, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Mark Costaldi, M.D.
Pathology
NPI 1770769564
736 IRVING AVE PATHOLOGY, #9227
Syracuse, NY 13210
(315) 470-7396
✔ PECOS✔ Accepts MedicareSame address
Rachel Elder, M.D.
Pathology
NPI 1790778868
736 IRVING AVE 9TH FL
Syracuse, NY 13210
(315) 470-7396
✔ PECOS✔ Accepts MedicareSame address
Evan Himchak, MD
Pathology
NPI 1245627678
736 IRVING AVE
Syracuse, NY 13210
(315) 470-7396
✔ PECOS✔ Accepts MedicareSame address
Teriza Shehatou, MD
Pathology
NPI 1477548543
736 IRVING AVE 9TH FLOOR
Syracuse, NY 13210
(315) 470-7396
✔ PECOS✔ Accepts MedicareSame address
Margaret Kowalski, M.D.
Pathology
NPI 1235122318
736 IRVING AVE 9TH FL
Syracuse, NY 13210
(315) 470-7396
✔ PECOS✔ Accepts MedicareSame address
Brian Pavlovitz, M.D.
Pathology
NPI 1912157454
1226 E WATER ST
Syracuse, NY 13210
(315) 558-6641
✔ PECOS✔ Accepts Medicare0.7 mi
John Fazio, M.D.
Pathology
NPI 1619960721
4900 BROAD RD PATHOLOGY DEPT
Syracuse, NY 13215
(315) 492-5096
✔ PECOS2.7 mi
Hasan Khatib
Pathology
NPI 1972921419
565 ABBOTT RD
Buffalo, NY 14220
(413) 276-5056
✔ PECOS✔ Accepts Medicare136 mi

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 Pathology Associates Of Syracuse, PC's NPI number?

The NPI number for Pathology Associates Of Syracuse, PC is 1629061791. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Pathology Associates Of Syracuse, PC located?

Pathology Associates Of Syracuse, PC is located at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 470-7396.

What is Pathology Associates Of Syracuse, PC's specialty?

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

Is Pathology Associates Of Syracuse, PC enrolled in Medicare?

Yes. Pathology Associates Of Syracuse, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathology Associates Of Syracuse, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Pathology, reassign their Medicare billing to Pathology Associates Of Syracuse, PC. 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. Of these, 5 practice at this address and 7 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 Pathology Associates Of Syracuse, PC was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.