Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy James Massoud

Individual provider Registered Nurse · NPI 1790171841

Mr. Jeremy James Massoud is a Registered Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

800 Irving Ave Veterans Affairs Medical Ctr
Syracuse, NY 13210 Not confirmed with CMS for 11 years — call before visiting
Phone: (720) 236-7138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 6883851 (NY)

Record details

NPI number1790171841
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015

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