Individual provider Active NPI

Cynthia L Cook, NP

  • Adult Health Nurse Practitioner
  • Latham, NY
National Provider Identifier
1750405528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
301612 Issued in NY
Practice address
930 Albany Shaker Rd
Latham, NY 12110-6412
Phone
(518) 220-9413
Fax
(518) 220-9417
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 301612 NY Primary

Addresses

Primary practice location

930 Albany Shaker Rd
Latham, NY 12110-6412

Mailing address

38 Schalren Dr
Latham, NY 12110-1226
Phone (518) 783-7667

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000491 NY Practitioner - Nurse Practitioner 5193800704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Schenectady Gastroenterology Associates, PCGroup PAC ID 6608855168, 31 clinicians

Practice addresses (Care Compare)

848 State Route 50
Burnt Hills, NY 12027-9511
Phone 51883115001100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Schenectady Gastroenterology Associates, PC CurrentSince Aug 23, 2021 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Jan 1, 2020 Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500

1770 Route 9
Halfmoon, NY 12065
Phone (518) 688-1380

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECGDD
  • Direct secure messaging: ccook834431@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750405528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SCHALREN DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101226",
            "telephone_number": "518-783-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ALBANY SHAKER RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106412",
            "telephone_number": "518-220-9413",
            "fax_number": "518-220-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.