OrganizationActive
Crouse Medical Practice PLLC
NPI 1568874881 · Non-Pharmacy Dispensing Site · Syracuse, NY
Crouse Medical Practice PLLC is a Non-Pharmacy Dispensing Site organization in Syracuse, NY (NPI 1568874881).
Provider details
- NPI number
- 1568874881
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 195907 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
739 Irving Ave
Suite 200 and 300
Syracuse, NY 13210-1651
Phone: (315) 479-5070
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Internist Associates of Central New York
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Frequently asked questions
- What is Crouse Medical Practice PLLC's NPI number?
- Crouse Medical Practice PLLC's National Provider Identifier (NPI) is 1568874881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crouse Medical Practice PLLC?
- Crouse Medical Practice PLLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Crouse Medical Practice PLLC located?
- Crouse Medical Practice PLLC's practice location on file with NPPES is 739 Irving Ave, Syracuse, NY 13210-1651.
- What is Crouse Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Crouse Medical Practice PLLC is (315) 479-5070.
- Who is the authorized official for Crouse Medical Practice PLLC?
- The authorized official listed on Crouse Medical Practice PLLC's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crouse Medical Practice PLLC's NPI active?
- Yes — Crouse Medical Practice PLLC's NPI (1568874881) is active in the NPPES registry as of the last update on 2014-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.