Individual provider Active NPI

Maria Puangco Curcio, CDE, RDN, CND

  • Registered Dietitian
  • Patchogue, NY
National Provider Identifier
1073556460
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009172 Issued in NY
Practice address
109 West Main Street
Hemodialysis
Patchogue, NY 11772
Phone
(631) 687-4188
Fax
(631) 687-2879
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 20720275 NY
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 009172 NY Primary

Addresses

Primary practice location

109 West Main Street
Hemodialysis
Patchogue, NY 11772

Mailing address

109 West Main Street
Hemodialysis
Patchogue, NY 11772
Phone (631) 687-4188

Other practice location 1

515 Bellport Ave
Bellport, NY 11713-1711
Phone (631) 227-6600

Other practice location 2

185 Oser Ave
Hauppauge, NY 11788-3710
Phone (631) 348-0032 ext. 109

Other practice location 3

101 Hospital Rd
ste 203
Patchogue, NY 11772
Phone (631) 475-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20720275NYMDHealth Educator
009172NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Surgical Associates, University Faculty Practice Corporati Single Specialty Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073556460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WEST MAIN STREET",
            "address_2": "HEMODIALYSIS",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-687-4188",
            "fax_number": "631-687-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WEST MAIN STREET",
            "address_2": "HEMODIALYSIS",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-687-4188",
            "fax_number": "631-687-2879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Bellport Ave",
            "address_purpose": "LOCATION",
            "city": "Bellport",
            "state": "NY",
            "postal_code": "117131711",
            "country_code": "US",
            "telephone_number": "631-227-6600",
            "fax_number": "631-286-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Oser Ave",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117883710",
            "country_code": "US",
            "telephone_number": "631-348-0032 x109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Rd",
            "address_2": "ste 203",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "11772",
            "country_code": "US",
            "telephone_number": "631-475-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURCIO",
        "first_name": "MARIA",
        "middle_name": "PUANGCO",
        "name_prefix": "Ms.",
        "credential": "CDE, RDN, CND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "20720275",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.