Active NPI
Cynthia M Murtha, PA-C
- Surgical Physician Assistant
- Stony Brook, NY
National Provider Identifier
1356675730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 015903
- Practice address
- Stony Brook University Hospital
HSC Level 18 RM 080
Stony Brook, NY 11794 - Phone
- (631) 459-9598
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 015903 | NY | Primary |
Addresses
Primary practice location
Stony Brook University Hospital
HSC Level 18 RM 080
Stony Brook, NY 11794
Mailing address
Stony Brook University Hospital
HSC Level 18 RM 080
Stony Brook, NY 11794-0001
Phone (631) 444-2881
Other names 1
- Cynthia M Smallwood
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015903 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Associates in Obstetrics & Gynecology, University Faculty P | Past | Accepting new patients |
Interoperability endpoints
- cynthia.murtha@direct.stonybrookmedicine.edu
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Stony Brook, NY
- NPI 1154377638
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1356675730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "HSC LEVEL 18 RM 080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-2881",
"fax_number": "631-444-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "HSC LEVEL 18 RM 080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-459-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHA",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "015903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "SMALLWOOD",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.