Cayuga Neurologic Services LLP

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

132611 Issued in NY

Legal business name

CAYUGA NEUROLOGIC SERVICES LLP

Practice address

119 W Buffalo St
Ithaca, NY 14850-4131

Phone

(607) 273-6757

Fax

(607) 273-2854

NPI assigned

Nov 17, 2006

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jody M Stackman, MDNPI 1457353666

Title

Senior Partner

Phone

(607) 273-6757

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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.

• Jody M Stackman, M.D.

  • Neurology Physician
  • Ithaca, NY
  • NPI 1457353666
  NPD (past) Authorized official
• Justin Tyrone Montanye, MD

  • Neurology Physician
  • Meriden, CT
  • NPI 1902992514
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1578636379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W BUFFALO ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504131",
            "telephone_number": "607-273-6757",
            "fax_number": "607-273-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W BUFFALO ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504131",
            "telephone_number": "607-273-6757",
            "fax_number": "607-273-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA NEUROLOGIC SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "STACKMAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "607-273-6757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "132611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068793",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335900",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03191393",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00711413",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cayuga Medical Center at Ithaca
• Cayuga Medical Center at Ithaca
• Cayuga Medical Center Employed Physicians Group
• Cayuga Medical Equipment, LLC
• Cayuga Medicine Services PLLC (Cayuga Anesthesia)
• Cayuga Physical Therapy, P.C.
• Cayuga Physician Practice PLLC
• Cayuga Ridge, LLC (Cayuga Ridge Extended Care)
• Cayuga Womens Medical Health, PLLC
• David P Cedarbaum, DC

• Neurology Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.