TRUMANSBURG FAMILY HEALTH CENTER
NPI 1528056942
Family Medicine in Trumansburg, NY

Q: What is Trumansburg Medicine PLLC's NPI number?

The NPI number for Trumansburg Medicine PLLC is 1528056942. It was assigned to this organization in the NPPES registry on October 10, 2005. The provider is doing business as Trumansburg Family Health Center.

Q: What is Trumansburg Medicine PLLC's specialty?

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

Active since October 10, 2005CLIA 33D0672045 · Microscopy

4435 SENECA RD, TRUMANSBURG, NY 14886(607) 387-5707(607) 387-4354 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Trumansburg Family Health Center NPPES

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

TRUMANSBURG FAMILY HEALTH CENTER (NPI 1528056942) is a healthcare organization registered as a family medicine in Trumansburg, New York and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists John D. Cooke, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1528056942

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTRUMANSBURG MEDICINE PLLC

Location Address4435 SENECA RDTrumansburg, NY 14886-9201

Mailing Address4435 Seneca RdTrumansburg, NY 14886-9201 · (607) 387-5707 · Fax (607) 387-4354

Phone(607) 387-5707

Fax(607) 387-4354

Organization SubpartNo

Authorized OfficialJohn D. CookeMember/owner · (607) 387-5707

Enumeration DateOctober 10, 2005

Last NPPES UpdateFebruary 6, 2014

✔ NPI 1528056942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4435 SENECA RD, Trumansburg, NY 14886

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Other Names 1

Doing Business AsTrumansburg Family Health Center

Other Identifiers 2

Medicaid02863638NY

Medicare PINBA1118NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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) 33D0672045

Trumansburg Family Health Center · Trumansburg, NY

Active · expires Dec 22, 2027

CLIA Number33D0672045

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDr. Gerrit W. Heetderks

Laboratory Phone(607) 387-5707

Laboratory LocationTrumansburg Family Health Center4435 Seneca Rd, Trumansburg, NY 14886

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 10

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

MAURA C MCCAULEY MD

Family Medicine