Individual provider Active NPI

Polly A Cator, MD

  • Internal Medicine Physician
  • Cortland, NY
National Provider Identifier
1679544969
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183770 Issued in NY
Practice address
149 S Main St
Cortland, NY 13045-2926
Phone
(607) 753-8241
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183770 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X 183770 NY

Addresses

Primary practice location

149 S Main St
Cortland, NY 13045-2926

Mailing address

202 Taughannock Blvd
PO Box 366
Ithaca, NY 14850-3328
Phone (607) 277-4035

Other identifiers 1

IdentifierTypeStateIssuer
01510705MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070424000377 NY Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 1850496647 Reassigns benefits to 3 organizations
Practice locations: Cortland, NY; Ithaca, NY; Liverpool, NY; Syracuse, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183770NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York General Medical Services PC CurrentSince Jan 16, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 16, 2023 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ccrnc LLC Past Accepting new patients
Cortland Community Reentry Program, Inc Past Accepting new patients

Locations

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1679544969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TAUGHANNOCK BLVD",
            "address_2": "PO BOX 366",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503328",
            "telephone_number": "607-277-4035",
            "fax_number": "607-277-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452926",
            "telephone_number": "607-753-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATOR",
        "first_name": "POLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183770",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "183770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01510705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.