Active NPI
Cayuga Medical Center Employed Physicians Group
- Neonatal-Perinatal Medicine Physician
- Ithaca, NY
National Provider Identifier
1730596107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- CAYUGA MEDICAL CENTER EMPLOYED PHYSICIANS GROUP
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1342 - Phone
- (607) 274-4441
- NPI assigned
- Jul 17, 2014
- Organization subpart
- Yes
- Parent organization
- CAYUGA MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Collett
- Title
- Cfo
- Phone
- (607) 274-4441
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Internal Medicine Physician | 207R00000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Pediatrics Physician | 208000000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1342
Mailing address
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4441
Other names 1
- Cayuga Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Tompkins County Hospita
- Part of
- Tompkins County Hospita
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Acute Care Hospital
- Ithaca, NY
- NPI 1477877876
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1811210388
-
- Rehabilitation Hospital Unit
- Ithaca, NY
- NPI 1366519795
-
- Medicare Defined Swing Bed Hospital Unit
- Ithaca, NY
- NPI 1982771325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405641600000",
"number": "1730596107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYUGA MEDICAL CENTER EMPLOYED PHYSICIANS GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAYUGA MEDICAL CENTER",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-18",
"status": "A",
"authorized_official_last_name": "COLLETT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "607-274-4441"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cayuga Medical Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ithaca, NY
- Cayuga Medical Center at Ithaca
- Cayuga Medical Center at Ithaca
- Cayuga Medical Center at Ithaca
- Cayuga Medical Center at Ithaca
- Cayuga Medical Center at Ithaca
- Cayuga Medical Equipment, LLC
- Cayuga Medicine Services PLLC
- Cayuga Neurologic Services LLP
- Cayuga Physical Therapy, P.C.
- Cayuga Physician Practice PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.