Individual provider Active NPI

Susan Jean Cunico, DC

  • Integrative Medicine Physician
  • Newton, NJ
National Provider Identifier
1013982743
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
26NJ01260600 Issued in NJ
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040707000319 NJ Practitioner - Chiropractic 7214914316 Reassigns benefits to 1 organization

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
Cunico Enterprises IncGroup PAC ID 8123250487, 6 clinicians

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

LicenseStateTypeSpecialty
26NJ01260600NJMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Integrated Medical PC Chiropractor CurrentSince Jul 23, 2023 Accepting new patients
Cunico Enterprises, Inc. CurrentSince Sep 1, 1997 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.

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.

Verify at the official NPI Registry.