Active NPI
Cayuga Community Services
- Clinic/Center
- Elmira, NY
National Provider Identifier
1710877634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CAYUGA COMMUNITY SERVICES
- Practice address
- 200 Madison Ave FL 2
Elmira, NY 14901-3218 - Phone
- (607) 732-1310
- NPI assigned
- Jul 3, 2025
- 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
- Derrick L Murry
- Title
- Ceo, Authorized Official
- Phone
- (315) 447-7679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
200 Madison Ave FL 2
Elmira, NY 14901-3218
Mailing address
200 Madison Ave FL 2
Elmira, NY 14901-3218
Other names 1
- Elmira Community Health
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 |
|---|---|---|---|
| 33D2329970 | Elmira Community Health | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 Madison Ave
Fl 2
Elmira, NY 14901
Phone (607) 732-1310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1710877634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MADISON AVE FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MADISON AVE FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013218",
"telephone_number": "607-732-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYUGA COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-03",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "MURRY",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO, AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "315-447-7679"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elmira Community Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elmira Community Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.