Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Upstate Surgical Group PC

Specialist in Liverpool, NY · enumerated 2006 · authorized official Thomas Certo, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629176755

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Registry record

Entity type Organization (Type 2)

Legal business name Upstate Surgical Group PC

Practice address 5100 W Taft Rd, Ste 2e, Liverpool, NY, 13088

Phone (315) 634-3399

Fax (315) 634-3395

Enumeration date Sep 20, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Thomas Certo

Title President

Phone (315) 634-3399

Other identifiers

Identifier	Type	State	Issuer
01408800	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Where is Upstate Surgical Group PC located?

The practice location on file with NPPES is in Liverpool, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.