Active NPI
Amy Rebecca Cousins, MD
- Gynecology Physician
- Vestal, NY
National Provider Identifier
1730272220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 137439
- Practice address
- 149 Vestal Parkway West
Vestal, NY 13850 - Phone
- (607) 785-4171
- Fax
- (607) 785-3915
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 137439 | NY | Primary |
Addresses
Primary practice location
149 Vestal Parkway West
Vestal, NY 13850
Mailing address
PO Box 642
Vestal, NY 13851-0642
Phone (607) 785-4171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00891070 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137439 | NY | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730272220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642",
"city": "VESTAL",
"state": "NY",
"postal_code": "138510642",
"telephone_number": "607-785-4171",
"fax_number": "607-785-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 VESTAL PARKWAY WEST",
"city": "VESTAL",
"state": "NY",
"postal_code": "13850",
"telephone_number": "607-785-4171",
"fax_number": "607-785-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "AMY",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "137439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00891070",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.