CNY FACIAL SURGERY GROUP, PC
NPI 1831297183
Otolaryngology - Plastic Surgery within the Head & Neck in E. Syracuse, NY

Active since September 20, 2006CLIA 33D1075202 · Waiver
4939 BRITTONFIELD PARKWAY, BLDG B, SUITE 210, E. SYRACUSE, NY 13057(315) 471-8404(315) 471-6803 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cny Facial Surgery Group, Pc NPPES

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

CNY FACIAL SURGERY GROUP, PC (NPI 1831297183), doing business as Douglas W. Halliday, M.d., P.c., is a healthcare organization registered as a plastic surgery within the head & neck in E. Syracuse, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Mary Barrigar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831297183
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameCNY FACIAL SURGERY GROUP, PC
Location Address4939 BRITTONFIELD PARKWAY, BLDG B, SUITE 210E. Syracuse, NY 13057
Mailing Address4939 Brittonfield Parkway, Bldg B, Suite 210E. Syracuse, NY 13057 · (315) 471-8404 · Fax (315) 471-6803
Fax(315) 471-6803
Organization SubpartNo
Authorized OfficialMary BarrigarOffice Manager · (315) 471-8404
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 23, 2015
✔ NPI 1831297183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
4939 BRITTONFIELD PARKWAY, E. Syracuse, NY 13057

Other Names 1

Former Legal Business NameDouglas W. Halliday, M.d., P.c.

Other Identifiers 3

Medicare PINAA0360NY
Medicaid03597968NY
Medicare PINDG4140NY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cny Facial Surgery Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cny Facial Surgery Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Otolaryngology
NPI 1548434236
4939 BRITTONFIELD PKWY BUILDING B, SUITE 210
East Syracuse, NY 13057
(315) 471-8404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972184000
4939 BRITTONFIELD PKWY STE 208
East Syracuse, NY 13057
(315) 471-8404
✔ PECOSSame address
Nurse Practitioner
NPI 1073529590
3906 E GENESEE ST
Syracuse, NY 13214
(315) 251-1093
✔ PECOS✔ Accepts Medicare4.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770963118
301 PROSPECT AVE.
Syracuse, NY 13203
(315) 299-5451
✔ PECOS✔ Accepts Medicare5.6 mi

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 of Waiver 33D1075202

Cny Facial Surgery Group PC · East Syracuse, NY
Active · expires Oct 15, 2027
CLIA Number33D1075202
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Sang W. Kim
Laboratory Phone(315) 471-8404
Laboratory LocationCny Facial Surgery Group PC4939 Brittonfield Parkway Building B Suite 210, East Syracuse, NY 13057
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Cny Facial Surgery Group, PC's NPI number?

The NPI number for Cny Facial Surgery Group, PC is 1831297183. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider was formerly known as Douglas W. Halliday, M.D., P.C..

Where is Cny Facial Surgery Group, PC located?

Cny Facial Surgery Group, PC is located at 4939 Brittonfield Parkway Bldg B, Suite 210, E. Syracuse, NY 13057. The listed phone number is (315) 471-8404.

What is Cny Facial Surgery Group, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Cny Facial Surgery Group, PC enrolled in Medicare?

Yes. Cny Facial Surgery Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cny Facial Surgery Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Cny Facial Surgery Group, PC, in Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner and Otolaryngology. 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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cny Facial Surgery Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1075202) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cny Facial Surgery Group, PC was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.