CAYUGA HEALTH SYSTEM
NPI 1386415511
Nurse Practitioner - Family in Ithaca, NY
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 33D2288070
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About CAYUGA HEALTH SYSTEM
This page provides the complete NPI Profile along with additional information for Cayuga Health System, a provider established in Ithaca, New York operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1386415511 assigned on January 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Marty Stallone Md (Ceo)
- NPI
- 1386415511 Verify this NPI
- Provider Name
- CAYUGA HEALTH SYSTEM
- Entity Type
- Organization
- Location Address
- 2432 N TRIPHAMMER RD ITHACA, NY 14850
- Location Phone
- (607) 272-0460
- Mailing Address
- 111 ORCHARD ST ITHACA, NY 14850
- Mailing Phone
- (607) 342-8142
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2024
- Last Update Date
- 01-16-2024
- Code Navigator
A nurse practitioner (NP) like Cayuga Health System is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2288070
- Facility Type
- Physician Office
- Certificate Effective Date
- August 21, 2023
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. REZA GOLESTANI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cayuga Health System to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ITHACA, NY 14850
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386415511, enumerated as an "organization" on January 16, 2024.
The provider is located at 2432 N TRIPHAMMER RD ITHACA, NY 14850 and the phone number is (607) 272-0460.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
