NPIMap

Organization Active NPI

Cornell University

  • Clinic/Center
  • Ithaca, NY
National Provider Identifier
1336276179
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
026826 Issued in NY
Legal business name
CORNELL UNIVERSITY
Practice address
110 Ho Plaza
Ithaca, NY 14853-3101
Phone
(607) 255-6976
Fax
(607) 254-5042
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Jada M Hamilton, MDNPI 1972610137
Title
Director
Phone
(607) 255-7492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 026826 NY Primary

Addresses

Primary practice location

110 Ho Plaza
Ithaca, NY 14853-3101

Mailing address

110 Ho Plaza
Ithaca, NY 14853-3101
Phone (607) 255-6976

Other identifiers 2

IdentifierTypeStateIssuer
3339555OtherNYNCPDP
026826OtherNYSTATE LISCENSE

Other names 2

  • Gannett Cornell University Health Services Pharmacy Other name
  • Gannett Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002002045 NY Part B Supplier - Pharmacy 0446604979 Practice locations: Ithaca, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
College of Veterinary Medicine5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Ho Plz
#4
Ithaca, NY 14853
Phone (607) 255-7492

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1336276179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533101",
            "telephone_number": "607-255-6976",
            "fax_number": "607-254-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533101",
            "telephone_number": "607-255-6976",
            "fax_number": "607-254-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JADA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "607-255-7492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "026826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3339555",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "026826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gannett Cornell University Health Services Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gannett Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gannett Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.