Active NPI
Zyra Cortez O'Connor, M.D.
- Pediatrics Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 309502
- Practice address
- 6 Wellness Way Ste 102
Latham, NY 12110-2156 - Phone
- (518) 713-2099
- Fax
- (518) 783-7506
- NPI assigned
- Apr 9, 2013
- Last updated
- Mar 4, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 309502 | NY | Primary |
Addresses
Primary practice location
6 Wellness Way Ste 102
Latham, NY 12110-2156
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other names 1
- Zyra Cuevas Cortez
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309502 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Pediatrics | Current | Accepting new patients |
| Community Care Physicians, PLLC | Pediatrics | Current | Accepting new patients |
Locations
6 Wellness Way
Ste 102
Latham, NY 12110
Phone (518) 713-2099
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
711 Troy Schenectady Rd
Ste 102
Latham, NY 12110
Phone (518) 213-0227
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
Interoperability endpoints
- zyraoconnor@ccp.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1801239819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 102",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-713-2099",
"fax_number": "518-783-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "ZYRA",
"middle_name": "CORTEZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "309502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZYRA",
"last_name": "CORTEZ",
"middle_name": "CUEVAS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.