UPSTATE COMMUNITY MEDICAL, PC
NPI 1689620163
Hospitalist in Syracuse, NY

Active since May 26, 2006
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5305(315) 492-5320 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2021, Jun 16, 2017 (2 updates tracked since 2017).

About Upstate Community Medical, Pc NPPES

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

UPSTATE COMMUNITY MEDICAL, PC (NPI 1689620163) is a healthcare organization registered as a hospitalist in Syracuse, New York and active in the NPI registry since May 2006. The organization lists Amy Tucker, President, as its authorized official.

NPPES Registry Identity

NPI1689620163
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameUPSTATE COMMUNITY MEDICAL, PC
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 472-1488 · Fax (315) 883-5407
Fax(315) 492-5320
Organization SubpartNo
Authorized OfficialAmy TuckerPresident · (315) 464-4255
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
NPI 1689620163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
4900 BROAD RD, Syracuse, NY 13215

Other Identifiers 2

Medicaid02771722NY
OtherDE7448NY · Rr Medicare Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215

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 Upstate Community Medical, PC's NPI number?

The NPI number for Upstate Community Medical, PC is 1689620163. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Upstate Community Medical, PC located?

Upstate Community Medical, PC is located at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5305.

What is Upstate Community Medical, PC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Upstate Community Medical, PC was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.