Active NPI
Cynthia J Tremblay, NP
- Family Nurse Practitioner
- Fayetteville, NY
National Provider Identifier
1750387130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332650
- Practice address
- 6800 E Genesee St
Fayetteville, NY 13066-1089 - Phone
- (315) 445-0003
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332650 | NY | Primary |
Addresses
Primary practice location
6800 E Genesee St
Fayetteville, NY 13066-1089
Mailing address
6800 E Genesee St
Fayetteville, NY 13066-1089
Phone (315) 445-0003
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332650 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Pain Medicine Associates PC | Past | Accepting new patients | |
| New York Anesthesiology Medical Specialties, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba New York Spine and Wellness Center
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1023497203
-
- Pain Medicine Physician
- Liverpool, NY
- NPI 1184691453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1750387130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661089",
"telephone_number": "315-445-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661089",
"telephone_number": "315-445-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBLAY",
"first_name": "CYNTHIA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.