NPIMap

Organization Active NPI

Cma Medical Practice PLLC

Doing business as Emergency Medicine Associates of Cayuga PLLC

  • Emergency Medicine Physician
  • Ithaca, NY
National Provider Identifier
1962985564
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CMA MEDICAL PRACTICE PLLC
Doing business as
Emergency Medicine Associates of Cayuga PLLC
Practice address
101 Dates Dr
Ithaca, NY 14850-1342
Phone
(607) 274-4011
Fax
(607) 252-3051
NPI assigned
Sep 10, 2018
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CAYUGA MEDICAL ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Martin Stallone, MDNPI 1295751782
Title
MD
Phone
(607) 274-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

101 Dates Dr
Ithaca, NY 14850-1342

Mailing address

PO Box 795
Ithaca, NY 14851-0795
Phone (855) 691-9890

Other practice location 1

220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 535-7121

Other practice location 2

10 Arrowood Dr
Ithaca, NY 14850-1857
Phone (607) 274-4150

Other practice location 3

1129 Commons Ave
Cortland, NY 13045-1639
Phone (607) 756-7200

Other names 1

  • Emergency Medicine Associates of Cayuga PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130001697 NY Part B Supplier - Clinic/Group Practice 7618214560 Receives reassigned benefits from 78 practitioners
Practice locations: Cortland, NY; Ithaca, NY

National Provider Directory

National Provider Directory
Part of
Cayuga Medical Associates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

10 Arrowood Dr
Ithaca, NY 14850
Phone (607) 274-4150

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1962985564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510795",
            "telephone_number": "855-691-9890",
            "fax_number": "781-276-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4011",
            "fax_number": "607-252-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Steuben St",
            "address_purpose": "LOCATION",
            "city": "Montour Falls",
            "state": "NY",
            "postal_code": "148659740",
            "country_code": "US",
            "telephone_number": "607-535-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Arrowood Dr",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148501857",
            "country_code": "US",
            "telephone_number": "607-274-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1129 Commons Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451639",
            "country_code": "US",
            "telephone_number": "607-756-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMA MEDICAL PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAYUGA MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "STALLONE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "607-274-4322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Medicine Associates of Cayuga PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.