Active NPI
Susan Jean Cunico, DC
- Integrative Medicine Physician
- Newton, NJ
National Provider Identifier
1013982743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 26NJ01260600
- Practice address
- 12 Lawrence Rd Ste 201
Newton, NJ 07860-2822 - Phone
- (973) 948-7595
- Fax
- (973) 948-7530
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00421400 | NJ | |
| Acupuncturist | 171100000X | NJ | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NJ | ||
| Integrative Medicine Physician | 202D00000X | 26NJ01260600 | NJ | Primary |
Addresses
Primary practice location
12 Lawrence Rd Ste 201
Newton, NJ 07860-2822
Mailing address
12 Lawrence Rd Ste 201
Newton, NJ 07860-2822
Phone (973) 948-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Lawrence Rd
Suite 201
Newton, NJ 07860-2822
Phone (973) 948-7595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01260600 | NJ | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Integrated Medical PC | Chiropractor | Current | Accepting new patients |
| Cunico Enterprises, Inc. | Current | Accepting new patients |
Locations
12 Lawrence Rd
Ste 201
Newton, NJ 07860
Phone (973) 948-7595
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cunico Family Health and Wellness Center
- Family Nurse Practitioner
- Newton, NJ
- NPI 1982954459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1013982743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LAWRENCE RD STE 201",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078602822",
"telephone_number": "973-948-7595",
"fax_number": "973-948-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LAWRENCE RD STE 201",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078602822",
"telephone_number": "973-948-7595",
"fax_number": "973-948-7530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNICO",
"first_name": "SUSAN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00421400",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "NJ",
"license": "26NJ01260600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.