Active NPI
Gerard Michael Cuomo, D.D.S
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1033253448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 10019
- Practice address
- 900 NW 13TH St
Suite 300
Boca Raton, FL 33486-2335 - Phone
- (561) 391-6290
- Fax
- (561) 391-6299
- NPI assigned
- Feb 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 10019 | FL | Primary |
Addresses
Primary practice location
900 NW 13TH St
Suite 300
Boca Raton, FL 33486-2335
Mailing address
17756 Oakwood Ave
Boca Raton, FL 33487-2211
Phone (561) 995-0790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605001353 | FL | Order and Referring Only - Dentist | 2163743816 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 10019 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1033253448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17756 OAKWOOD AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872211",
"telephone_number": "561-995-0790",
"fax_number": "561-995-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NW 13TH ST",
"address_2": "SUITE 300",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862335",
"telephone_number": "561-391-6290",
"fax_number": "561-391-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUOMO",
"first_name": "GERARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 10019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.