Clinton Square Operations LLC
NPI 1295242683ActiveOrganization· Skilled Nursing Facility· Syracuse, NY
Skilled Nursing Facility in Syracuse, New York, registered in NPPES in January 2018. The authorized official on file is Edward Ferbenblum, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.
Overview
| NPI | 1295242683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2018 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NY); Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Skilled Nursing Facility providers in Syracuse
- 1558365312
- 1508187402
- 1023091840
- 1386899771
- 1376537019
- 1275790818
- 1225581523
- 1588650873
- 1194718726
- 1124013115
- 1659752293
- 1659396943