Organization Active NPI

Cathy Carron a Signature MD PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1992588180
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CATHY CARRON A SIGNATURE MD PLLC
Practice address
65 Broadway Ste 1806
New York, NY 10006-2517
Phone
(212) 784-0073
Fax
(212) 784-0076
NPI assigned
Aug 14, 2023
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Cathy A Carron, MDNPI 1043256290
Title
Doctor
Phone
(212) 784-0073

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

65 Broadway Ste 1806
New York, NY 10006-2517

Mailing address

65 Broadway Ste 1806
New York, NY 10006-2517
Phone (212) 784-0073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417003718 NY Part B Supplier - Clinic/Group Practice 4789023144 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

65 Broadway
Ste 1806
New York, NY 10006
Phone (212) 482-2400

Practitioners & affiliated clinicians

Practitioners 1

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1992588180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 1806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062517",
            "telephone_number": "212-784-0073",
            "fax_number": "212-784-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 1806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062517",
            "telephone_number": "212-784-0073",
            "fax_number": "212-784-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY CARRON A SIGNATURE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "CARRON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-784-0073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.