Cortland ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORTLAND ASC, LLC

Doing business as

Cortland Surgical Center

Practice address

64 Pomeroy St
Cortland, NY 13045-2708

Phone

(607) 753-6560

Fax

(607) 753-6566

NPI assigned

May 22, 2013

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manoj Kumar, MDNPI 1013922335

Title

Owner.Physician

Phone

(607) 753-6560

Specialties & licenses 1

Addresses

Other names 1

• Cortland Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Cortland ASC LLCCCN 33C0001145

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ho Woon Lee, MD

  • Surgery Physician
  • Spokane, WA
  • NPI 1871537001

  NY

  Medicare reassignment NPD
• Manoj Kumar, MD

  • Otolaryngology Physician
  • Cortland, NY
  • NPI 1013922335
  NPD (past) Authorized official
• Hallie Neville

  • Registered Nurse
  • Cortland, NY
  • NPI 1831006022
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1083050603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 POMEROY ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452708",
            "telephone_number": "607-753-6560",
            "fax_number": "607-753-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 POMEROY ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452708",
            "telephone_number": "607-753-6560",
            "fax_number": "607-753-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER.PHYSICIAN",
        "authorized_official_telephone_number": "607-753-6560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortland Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylean Contento, LMSW
• Mary Ellen Converse, RN
• Rachel Elizabeth Coombs, PT, DPT
• Brian Joseph Corbin, CASAC, LMSW
• Sarah Cort
• Cortland Audiology, PC
• Cortland City School District
• Cortland Community Reentry Program, Inc
• Cortland County
• Cortland County (Caring Community Hospice of Cortland)

• Ambulatory Surgical Clinic/Center in Cortland, NY
• Providers in Cortland, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.