NPIMap

Organization Active NPI

Cayuga Medical Center

  • General Acute Care Hospital
  • Ithaca, NY
National Provider Identifier
1811210388
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1962422733 Issued in NY
Legal business name
CAYUGA MEDICAL CENTER
Practice address
310 Taughannock Blvd
Suite 1C
Ithaca, NY 14850
Phone
(607) 252-3500
Fax
(607) 252-3505
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Daniel Dominick Agnese, PT, DPT, CSCSNPI 1629397641
Title
PT
Phone
(607) 252-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1962422733 NY Primary

Addresses

Primary practice location

310 Taughannock Blvd
Suite 1C
Ithaca, NY 14850

Mailing address

310 Taughannock Blvd
Suite 1C
Ithaca, NY 14850
Phone (607) 252-3500

Other identifiers 1

IdentifierTypeStateIssuer
00332729MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Cayuga Medial CNT Menta5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 Taughannock Blvd
Ste 1C
Ithaca, NY 14850
Phone (607) 252-3500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1811210388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD",
            "address_2": "SUITE 1C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-252-3500",
            "fax_number": "607-252-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD",
            "address_2": "SUITE 1C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-252-3500",
            "fax_number": "607-252-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "AGNESE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DOMINICK",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "607-252-3500",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "1962422733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00332729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.