Cortland Community Reentry Program, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CORTLAND COMMUNITY REENTRY PROGRAM, INC

Practice address

149 Main St
Cortland, NY 13045-2926

Phone

(607) 753-8241

Fax

(607) 753-0768

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert S. Austin

Title

Business Manager

Phone

(607) 753-8241

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Polly A Cator, MD

  • Internal Medicine Physician
  • Cortland, NY
  • NPI 1679544969
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265578298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452926",
            "telephone_number": "607-753-8241",
            "fax_number": "607-753-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452926",
            "telephone_number": "607-753-8241",
            "fax_number": "607-753-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND COMMUNITY REENTRY PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "607-753-8241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01715044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Corbin, CASAC, LMSW
• Sarah Cort
• Cortland ASC, LLC
• Cortland Audiology, PC
• Cortland City School District
• Cortland County
• Cortland County
• Cortland County
• Cortland County
• Cortland County Area Agency on Aging

• Point of Service in Cortland, NY
• Providers in Cortland, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.