Cortland Operating Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1101308N Issued in NY

Legal business name

CORTLAND OPERATING CO LLC

Practice address

28 Kellogg Rd
Cortland, NY 13045-3113

Phone

(607) 753-9631

Fax

(607) 756-2968

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mathew Varghese, MSN, GNP, LNHA

Title

Executive Director

Phone

(518) 374-2212

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1538475603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113",
            "telephone_number": "607-753-9631",
            "fax_number": "607-756-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113",
            "telephone_number": "607-753-9631",
            "fax_number": "607-756-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-374-2212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, GNP, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1101308N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortland Gi
• Cortland Internist Associates
• Cortland Medical Associates, PC
• Cortland Medical Care, PC
• Cortland Memorial Radiology, PC
• Cortland Ophthalmological Care, PLLC
• Cortland Pathology PC
• Cortland Physical Therapy & Sports Rehabilitation
• Cortland Podiatry Associates PC
• Cortland Surgical Associates,P.C.

• Skilled Nursing Facility in Cortland, NY
• Providers in Cortland, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.