Active NPI
Cortland Medical Associates, PC
- Family Medicine Physician
- Cortland, NY
National Provider Identifier
1417905977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CORTLAND MEDICAL ASSOCIATES, PC
- Practice address
- 1259 Fisher Ave
Cortland, NY 13045-1012 - Phone
- (607) 756-4600
- Fax
- (607) 753-6266
- NPI assigned
- May 5, 2006
- 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
- Patrick J. Hayes, MD
- Title
- Director
- Phone
- (607) 756-4600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1259 Fisher Ave
Cortland, NY 13045-1012
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02190949 | Medicaid | NY |
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 |
|---|---|---|---|
| 33D2090356 | Cortland Medical Associates | Provider-performed microscopy | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1417905977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "SUITE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-472-8060"
},
{
"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": {
"organization_name": "CORTLAND MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "607-756-4600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02190949",
"state": "NY"
}
],
"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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.