Individual provider Active NPI

Zoila Cartaya, M.D.

  • Family Medicine Physician
  • Middletown, NY
National Provider Identifier
1073794665
Registry record updated Nov 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
105792-1 Issued in NY
Practice address
345 Stony Ford Rd
Middletown, NY 10941-3952
Phone
(845) 692-8303
Fax
(845) 692-8303
NPI assigned
Nov 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 105792-1 NY Primary

Addresses

Primary practice location

345 Stony Ford Rd
Middletown, NY 10941-3952

Mailing address

PO Box 713
Goshen, NY 10924-0713
Phone (845) 692-8303

Other identifiers 1

IdentifierTypeStateIssuer
02662251MedicaidNY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105792-1NYMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195948800000",
    "number": "1073794665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240713",
            "telephone_number": "845-692-8303",
            "fax_number": "845-692-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 STONY FORD RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413952",
            "telephone_number": "845-692-8303",
            "fax_number": "845-692-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAYA",
        "first_name": "ZOILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-25",
        "last_updated": "2007-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "105792-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02662251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.