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ADVANCED OB GYN, PLLC
NPI 1801897574
Obstetrics & Gynecology in Syracuse, NY

Active since August 03, 2005CLIA 33D0901775 · Microscopy
4850 BROAD RD, SUITE 2C, SYRACUSE, NY 13215(315) 492-5915(315) 492-5210 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Ob Gyn, Pllc NPPES

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

ADVANCED OB GYN, PLLC (NPI 1801897574) is a healthcare organization registered as an obstetrics & gynecology in Syracuse, New York and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through August 13, 2028 and lists Myron O Luthringer, Owner, as its authorized official.

NPPES Registry Identity

NPI1801897574
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameADVANCED OB GYN, PLLC
Location Address4850 BROAD RD, SUITE 2CSyracuse, NY 13215-5100
Mailing Address4850 Broad RdSyracuse, NY 13215-5103 · (315) 492-5915 · Fax (315) 492-5210
Phone(315) 492-5915
Fax(315) 492-5210
Organization SubpartNo
Authorized OfficialMyron O LuthringerOwner · (315) 492-5915
Enumeration DateAugust 3, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1801897574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4850 BROAD RD, Syracuse, NY 13215
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ob Gyn, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20050304000236Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Ob Gyn, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Myron Luthringer, MD
Obstetrics/Gynecology
NPI 1851394811
4850 BROAD RD STE 2C
Syracuse, NY 13215
(315) 492-5915
✔ PECOS✔ Accepts MedicareSame address
Janice Beaman, NP, CNM
Certified Nurse Midwife (CNM)
NPI 1356344311
4850 BROAD RD STE 2C
Syracuse, NY 13215
(315) 492-5915
✔ PECOS✔ Accepts MedicareSame address
Jennifer Marziale, MD
Obstetrics/Gynecology
NPI 1578566436
4850 BROAD RD STE 2C
Syracuse, NY 13215
(315) 492-5915
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0901775

Advanced Ob-Gyn PLLC · Syracuse, NY
Active · expires Aug 13, 2028
CLIA Number33D0901775
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorDr. Myron O. Luthringer
Laboratory Phone(315) 492-5915
Laboratory LocationAdvanced Ob-Gyn PLLC4850 Broad Rd, Ste 2C Physician Office Building - South, Syracuse, NY 13215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Advanced Ob Gyn, PLLC's NPI number?

The NPI number for Advanced Ob Gyn, PLLC is 1801897574. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Advanced Ob Gyn, PLLC located?

Advanced Ob Gyn, PLLC is located at 4850 Broad Rd Suite 2C, Syracuse, NY 13215. The listed phone number is (315) 492-5915.

What is Advanced Ob Gyn, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Advanced Ob Gyn, PLLC enrolled in Medicare?

Yes. Advanced Ob Gyn, PLLC is registered in the Medicare PECOS enrollment system.

When is Advanced Ob Gyn, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Ob Gyn, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Ob Gyn, PLLC, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Ob Gyn, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0901775) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Ob Gyn, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.