Organization
CAYUGA MEDICAL CENTER AT ITHACA
Active
Organization
CAYUGA MEDICAL CENTER AT ITHACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GOULD (CFO)
(607) 274-4011
Entity
Organization
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
7247020
NY
273R00000X
Psychiatric Hospital Unit
Primary
7247021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332729
—
NY
01
—
33S307
BLUE CROSS - PSYCH
NY
01
—
365593
MVP PROVIDER NO
NY
01
—
5401001H
NYS PROVIDER OPER CERT #
NY
Enumeration date
11/28/2006
Last updated
04/16/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up