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CORTLAND MEDICAL ASSOCIATES, PC
NPI 1417905977
Family Medicine in Cortland, NY

Active since May 05, 2006CLIA 33D2090356 · Microscopy
1259 FISHER AVE, CORTLAND, NY 13045(607) 756-4600(607) 753-6266 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cortland Medical Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORTLAND MEDICAL ASSOCIATES, PC (NPI 1417905977) is a healthcare organization registered as a family medicine in Cortland, New York and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Patrick J. Hayes, Director, as its authorized official.

NPPES Registry Identity

NPI1417905977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORTLAND MEDICAL ASSOCIATES, PC
Location Address1259 FISHER AVECortland, NY 13045-1012
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 472-1488 · Fax (315) 472-8060
Phone(607) 756-4600
Fax(607) 753-6266
Organization SubpartNo
Authorized OfficialPatrick J. HayesDirector · (607) 756-4600
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 30, 2008
✔ NPI 1417905977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1259 FISHER AVE, Cortland, NY 13045
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Other Identifiers 3

Medicaid02190949NY
Medicare PINCH8597NY
Medicare PINAA0895NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2090356

Cortland Medical Associates · Cortland, NY
Active · expires Mar 26, 2027
CLIA Number33D2090356
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Matthew L. Noble
Laboratory Phone(607) 756-4600
Laboratory LocationCortland Medical Associates1259 Fisher Ave, Cortland, NY 13045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN MARIE CUNNINGHAM MD
Family Medicine
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 756-4600
DR. CHRISTOPHER HESSAM MOHEIMANI M.D.
Surgery
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 753-1017
BISWARUP SYAM MD
Internal Medicine (Gastroenterology)
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 756-6595
RYAN THOMAS MAVRETISH MSOT. OTR/L
Occupational Therapist
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 753-6000
JOHN M STOCKWIN PT
Physical Therapist
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 756-7991
MATTHEW NOBLE DO
Family Medicine
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 756-4600
DR. AHMED M ELDOKLA MD
Psychiatry & Neurology (Neuromuscular Medicine)
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 299-4377
ANTHONY J DI GIOVANNA MD
Family Medicine
1259 FISHER AVE
CORTLAND, NY 13045
Cortland County (607) 756-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cortland Medical Associates, PC's NPI number?

The NPI number for Cortland Medical Associates, PC is 1417905977. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Cortland Medical Associates, PC located?

Cortland Medical Associates, PC is located at 1259 Fisher Ave, Cortland, NY 13045. The listed phone number is (607) 756-4600.

What is Cortland Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cortland Medical Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2090356) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cortland Medical Associates, PC was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.