Active NPI
Cortland ENT, PC
- Sleep Medicine (Otolaryngology) Physician
- Cortland, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- 241226
- Legal business name
- CORTLAND ENT, PC
- Practice address
- 64 Pomeroy St
Cortland, NY 13045-2708 - Phone
- (607) 753-6560
- Fax
- (607) 753-6566
- NPI assigned
- Sep 25, 2007
- Last updated
- Apr 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manoj Kumar, MD
- Title
- Owner
- Phone
- (607) 753-6560
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 241226 | NY | Primary |
Addresses
Primary practice location
64 Pomeroy St
Cortland, NY 13045-2708
Mailing address
64 Pomeroy St
Cortland, NY 13045-2708
Phone (607) 753-6560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02806619 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1081567 | Cortland ENT PC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1104 Commons Ave
Cortland, NY 13045
Phone (607) 758-3750
230 S Fulton St
Ithaca, NY 14850
Phone (607) 379-6039
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Otolaryngology Physician
- Cortland, NY
- NPI 1013922335
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1336143056
-
- Anesthesiology Physician
- Cortland, NY
- NPI 1730173998
-
- Pulmonary Disease Physician
- East Syracuse, NY
- NPI 1437360690
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1255595211
-
- Family Nurse Practitioner
- De Ruyter, NY
- NPI 1790763142
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1871702894
-
- Pulmonary Disease Physician
- Syracuse, NY
- NPI 1871515197
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- East Syracuse, NY
- NPI 1548434236
-
- Anesthesiology Physician
- Oneida, NY
- NPI 1710994983
-
- Pulmonary Disease Physician
- Auburn, NY
- NPI 1528060472
-
- Pain Medicine (Anesthesiology) Physician
- Syracuse, NY
- NPI 1063418440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1417144239",
"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 ENT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "MANOJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-753-6560",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Sleep Medicine",
"state": "NY",
"license": "241226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02806619",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
- Cortland County Health Department Licensed Home Care Services Agency
- Cortland County Health Department Nursing Clinics
- Cortland County Health Dept Children With Special Needs
- Cortland County Health Dept.
- Cortland County Mental Health Clinic
- Cortland Gastroenterology PC
- Cortland Gi
- Cortland Internist Associates
- Cortland Medical Associates, PC
- Cortland Medical Care, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.