Individual provider Active NPI

Alexander Michael Conlon, MD

  • Family Medicine Physician
  • Ithaca, NY
National Provider Identifier
1851967442
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
339047-01 Issued in NY
Practice address
401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone
(607) 277-4341
NPI assigned
Jun 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 339047-01 NY Primary

Addresses

Primary practice location

401 Cayuga Park LN
Ithaca, NY 14850-1180

Mailing address

401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone (607) 277-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241210001228 SC Practitioner - Family Practice 9436685781 Reassigns benefits to 3 organizations
I20251208001114 NY Practitioner - Family Practice 9436685781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rural Health Services, Inc.Group PAC ID 8527046010, shared by 4 NPIs, 12 clinicians
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

1021 York St NE
Aiken, SC 29801-4025
Phone (803) 360-7000

120 Darlington Dr
Aiken, SC 29803-8542
Phone (803) 380-7000

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone (607) 339-0625

4645 Augusta Rd
Beech Island, SC 29842-7265
Phone (803) 380-7000

Hospital & facility affiliations

  • VNS Ithaca Tompkins Co Chha Home health agency, Ithaca, NY, CCN 337212
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93539SCMDRegistered Nurse
339047-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services, Inc CurrentSince Nov 18, 2024 Accepting new patients
Rural Health Services, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Jan 5, 2026 Accepting new patients
Rural Health Services, Inc. CurrentSince Nov 18, 2024 Accepting new patients

Locations

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

401 Cayuga Park Ln
Ithaca, NY 14850
Phone (607) 277-3790

995 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1021 York St NE
Aiken, SC 29801
Phone (803) 360-7000

120 Darlington Dr
Aiken, SC 29803
Phone (803) 380-7000

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

4645 Augusta Rd
Clearwater, SC 29842
Phone (803) 380-7000

Interoperability endpoints

  • Direct secure messaging: aconlon79314@direct.xtensys.com
  • Direct secure messaging: aconlon167385@direct-guthrie.org

Organizations & group practices 4

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1851967442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CAYUGA PARK LN",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501180",
            "telephone_number": "607-277-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAYUGA PARK LN",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501180",
            "telephone_number": "607-277-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLON",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "339047-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.