CORAM HEALTHCARE CORPORATION OF NEW YORK
NPI 1750462479
Pharmacy - Home Infusion Therapy Pharmacy in Syracuse, NY

Q: What is Coram Healthcare Corporation Of New York's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Active since October 18, 2006

2949 ERIE BLVD E, SUITE 103, SYRACUSE, NY 13224(315) 425-8028(315) 425-0989 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coram Healthcare Corporation Of New York NPPES

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

CORAM HEALTHCARE CORPORATION OF NEW YORK (NPI 1750462479) is a healthcare organization registered as a home infusion therapy pharmacy in Syracuse, New York and active in the NPI registry since October 2006. The organization lists Vito Ponzio, Jr., Sr Vp, as its authorized official.

NPPES Registry Identity

NPI1750462479

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameCORAM HEALTHCARE CORPORATION OF NEW YORK

Location Address2949 ERIE BLVD E, SUITE 103Syracuse, NY 13224-1442

Mailing Address1675 Broadway, Suite 900Denver, CO 80202-4675 · (303) 672-8631 · Fax (303) 298-0047

Phone(315) 425-8028

Fax(315) 425-0989

Organization SubpartYes

Authorized OfficialVito Ponzio, Jr.Sr Vp · (303) 672-8631

Enumeration DateOctober 18, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1750462479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

License✔ Licensed in NY · 17027989

Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Also ListedHome HealthTaxonomy 251E00000X · License 9694L003 (NY)

Also ListedHome InfusionTaxonomy 251F00000X · License 9694L003 (NY)

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X · License N/A (NY)

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 17027989 (NY)

Also ListedPharmacyTaxonomy 333600000X · License 17027989 (NY)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 17027989 (NY)

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X · License 17027989 (NY)

2949 ERIE BLVD E, Syracuse, NY 13224

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Other Identifiers 3

Other9694L003NY · Home Health Agency

Other17027989NY · Rx License

Other3305011Ncpdp

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Coram Healthcare Corporation Of Gre carries, from the Medicare DMEPOS supplier directory.

Coram Healthcare Corporation Of Gre

DMEPOS supplier · Syracuse, NYOperated by Coram Healthcare Corporation Of Greater New York

✔

Accepts Medicare assignment

Coram Healthcare Corporation Of Gre agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20409101

Medicare Participant SinceJanuary 1, 2021

Supplier Location2949 Erie Blvd ESyracuse, NY 13224

Phone(315) 425-8028

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

MRS. REBECCA LYNN WEBB RPH

Pharmacist

2949 ERIE BLVD E, SUITE 103
SYRACUSE, NY 13224

Onondaga County (315) 425-8028

MS. DEBORAH L. SCHU RNNP

Nurse Practitioner (Adult Health)

2949 ERIE BLVD E, SUITE 110
SYRACUSE, NY 13224

Onondaga County (315) 424-1430

TARA K VINCENT RPH

Pharmacist

2949 ERIE BLVD E, SUITE 103
SYRACUSE, NY 13224

Onondaga County (315) 425-8028

MRS. ALISA MARIE MURPHY PA-C

Physician Assistant

2949 ERIE BLVD E, SUITE 110
SYRACUSE, NY 13224

Onondaga County (315) 424-1430

TRACY E. BARRETT-TANGOREN M.D.

Internal Medicine (Pulmonary Disease)

2949 ERIE BLVD E, STE 110
SYRACUSE, NY 13224

Onondaga County (315) 579-9037

MR. MARK WILLIAM LAQUE RPH

Pharmacist

2949 ERIE BLVD E, SUITE 103
SYRACUSE, NY 13224

Onondaga County (315) 425-8028

RENUKA NAYAK PT

Physical Therapist

2949 ERIE BLVD E, SUITE 112
SYRACUSE, NY 13224

Onondaga County (315) 251-1036

MRS. KRISTINE A. CERVANTES LPT

Physical Therapist

2949 ERIE BLVD E
SYRACUSE, NY 13224

Onondaga County (315) 251-1036

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 Coram Healthcare Corporation Of New York's NPI number?

The NPI number for Coram Healthcare Corporation Of New York is 1750462479. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Coram Healthcare Corporation Of New York located?

Coram Healthcare Corporation Of New York is located at 2949 Erie Blvd E Suite 103, Syracuse, NY 13224. The listed phone number is (315) 425-8028.

What is Coram Healthcare Corporation Of New York's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Does Coram Healthcare Corporation Of New York accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Coram Healthcare Corporation Of Gre accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Coram Healthcare Corporation Of New York was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.