Active NPI
Cynthia Reles, P.A.
- Physician Assistant
- Herkimer, NY
National Provider Identifier
1013960418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002547
- Practice address
- 321 E Albany St
Herkimer, NY 13350-2016 - Phone
- (315) 867-2865
- Fax
- (315) 867-2717
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002547 | NY | Primary |
Addresses
Primary practice location
321 E Albany St
Herkimer, NY 13350-2016
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (315) 867-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02136469 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1013960418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133260725",
"telephone_number": "315-867-2865",
"fax_number": "315-867-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E ALBANY ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133502016",
"telephone_number": "315-867-2865",
"fax_number": "315-867-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELES",
"first_name": "CYNTHIA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02136469",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.