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

Dr. Jacey M Pudney, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1720630064

Dr. Jacey M Pudney, MD is a Geriatric Medicine in Syracuse, New York. Qualified in 2019, 7 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

725 E Adams Street 2nd Fl
Syracuse, NY 13210
Phone: (315) 464-6100
Fax: (315) 464-9246
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 318719 (NY)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 318719 (NY)

Record details

NPI number1720630064
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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