Active NPI
Cathy Zarzecki
- Pediatrics Physician
- Cortland, NY
National Provider Identifier
1598714610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 211743
- Practice address
- 4038 West Rd
Cortland, NY 13045-1842 - Phone
- (607) 758-3008
- Fax
- (607) 758-3019
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 211743 | NY | Primary |
Addresses
Primary practice location
4038 West Rd
Cortland, NY 13045-1842
Mailing address
17 Main St
Ste 302
Cortland, NY 13045-6606
Phone (607) 753-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01944861 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deruyter Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- De Ruyter, NY
- NPI 1821229139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1598714610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MAIN ST",
"address_2": "STE 302",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130456606",
"telephone_number": "607-753-3797",
"fax_number": "607-753-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 WEST RD",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451842",
"telephone_number": "607-758-3008",
"fax_number": "607-758-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARZECKI",
"first_name": "CATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "211743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01944861",
"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 Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.