Cayuga Ridge, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5401311N Issued in NY

Legal business name

CAYUGA RIDGE, LLC

Doing business as

Cayuga Ridge Extended Care

Practice address

1229 Trumansburg Road
Ithaca, NY 14850-1313

Phone

(607) 273-8072

Fax

(607) 273-0373

NPI assigned

Nov 9, 2009

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Baker

Title

Administrator

Phone

(607) 273-0373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CAYUGA RIDGE EXTENDED CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871820076. Details of each certification follow.

• CCN 335249 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335249

Legal name

CAYUGA RIDGE LLC

Doing business as

CAYUGA NURSING & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1979

Last certification

Jan 24, 2025

Beds

160

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1229 Trumansburg Rd
Ithaca, NY 14850-1313

Nursing home name

CAYUGA NURSING AND REHABILITATION CENTER

Listed as

Cayuga Nursing and Rehabilitation CenterCCN 335249 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160115.2 residents per day on average

Penalties (3 years)

7Fines totaling $41,616

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

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.

• David Samuel Dinello, MD

  • Internal Medicine Physician
  • Marcellus, NY
  • NPI 1174693170
  NPD (past)
• Jialin See Nah, M.D.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1336334457
  NPD (past)
• Sheikh Jahidul Islam, MD

  • Hospitalist Physician
  • Houston, TX
  • NPI 1407301898
  NPD (past)
• Sally S. Lee, M.D.

  • Nephrology Physician
  • Stratford, CT
  • NPI 1447221189
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Samuel Dinello, MD

  • Internal Medicine Physician
  • Marcellus, NY
  • NPI 1174693170

  Nursing home

  Care Compare affiliation
• Jialin See Nah, M.D.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1336334457

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1871820076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 TRUMANSBURG ROAD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501313",
            "telephone_number": "607-273-8072",
            "fax_number": "607-273-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 TRUMANSBURG ROAD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501313",
            "telephone_number": "607-273-8072",
            "fax_number": "607-273-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-273-0373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5401311N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAYUGA RIDGE EXTENDED CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David P Cedarbaum, DC
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• Felipe Centellas Montano, MD
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• Skilled Nursing Facility in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.