Active NPI
Matthew Noble, DO
- Family Medicine Physician
- Cortland, NY
National Provider Identifier
1356590061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 255026
- Practice address
- 1259 Fisher Ave
Cortland, NY 13045-1012 - Phone
- (607) 756-4600
- Fax
- (607) 753-6266
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 255026 | NY | Primary |
Addresses
Primary practice location
1259 Fisher Ave
Cortland, NY 13045-1012
Mailing address
40 Arch St
Johnson City, NY 13790-2102
Phone (607) 763-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2866
Phone (315) 472-1488
1259 Fisher Ave
Cortland, NY 13045-1012
Phone (607) 756-4600
436 Hinsdale Rd
Camillus, NY 13031-1648
Phone (315) 488-0996
Hospital & facility affiliations
- Guthrie Home Health
- HCR Home Care
- Hospicare & Palliative Care Services
- Guthrie Cortland Regional Medical Center
- Cayuga Medical Center at Ithaca
- University Hospital S U N Y Health Science Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Medical Group, PC | Family Medicine | Current | Accepting new patients |
Locations
1259 Fisher Ave
Cortland, NY 13045
Phone (607) 756-4600
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Interoperability endpoints
- mnoble@fcmg.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1447212063
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
dba Hospicare and Palliative Care Services
- Community Based Hospice Care Agency
- Ithaca, NY
- NPI 1730185737
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1356590061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ARCH ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902102",
"telephone_number": "607-763-6075",
"fax_number": "607-763-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 FISHER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451012",
"telephone_number": "607-756-4600",
"fax_number": "607-753-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "MATTHEW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "255026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.