Organization Active NPI

Thomas J Cuomo Jr MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1225236367
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
21499 Issued in AZ
Legal business name
THOMAS J CUOMO JR MD PC
Practice address
13835 N Tatum Blvd # 9468
Phoenix, AZ 85032-5581
Phone
(602) 859-9888
Fax
(480) 922-5903
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Thomas J Cuomo Jr., MD
Title
Physician
Phone
(602) 859-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 21499 AZ Primary

Addresses

Primary practice location

13835 N Tatum Blvd # 9468
Phoenix, AZ 85032-5581

Mailing address

13835 N Tatum Blvd # 9468
Phoenix, AZ 85032-5581
Phone (602) 859-9888

National Provider Directory

National Provider Directory

Locations

13835 N Tatum Blvd
#9468
Phoenix, AZ 85032
Phone (602) 859-9888

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1225236367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD # 9468",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325581",
            "telephone_number": "602-859-9888",
            "fax_number": "480-922-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD # 9468",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325581",
            "telephone_number": "602-859-9888",
            "fax_number": "480-922-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CUOMO JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "602-859-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "21499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.