Organization Active NPI

Michael Cunningham MD, LLC

  • Psychiatry Physician
  • Westfield, NJ
National Provider Identifier
1043643901
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08202700 Issued in NJ
Legal business name
MICHAEL CUNNINGHAM MD, LLC
Practice address
547 E Broad St
2ND Floor
Westfield, NJ 07090-2107
Phone
(908) 962-7569
Fax
(908) 603-8794
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Michael James Cunningham, M.D.NPI 1639365836
Title
Owner
Phone
(908) 962-7569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA08202700 NJ
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 25MA08202700 NJ Primary

Addresses

Primary practice location

547 E Broad St
2ND Floor
Westfield, NJ 07090-2107

Mailing address

547 E Broad St
2ND Floor
Westfield, NJ 07090-2107
Phone (908) 962-7569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1043643901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-962-7569",
            "fax_number": "908-603-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902107",
            "telephone_number": "908-962-7569",
            "fax_number": "908-603-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CUNNINGHAM MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-962-7569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08202700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08202700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.