Active NPI
Tara Lyn Cuda, D.O., P.C.
- Sports Medicine (Internal Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1225278963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- Legal business name
- TARA LYN CUDA, D.O., P.C.
- Practice address
- 2230 S Broad St
Philadelphia, PA 19145-3950 - Phone
- (215) 334-3869
- Fax
- (215) 755-3300
- NPI assigned
- Feb 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tara Lyn Cuda, D.O.
- Title
- President
- Phone
- (215) 334-3869
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | Primary |
Addresses
Primary practice location
2230 S Broad St
Philadelphia, PA 19145-3950
Mailing address
2230 S Broad St
Philadelphia, PA 19145-3950
Phone (215) 334-3869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038856 | Other | PA | HBS |
National Provider Directory
National Provider Directory- Tax ID family
- Tara Lyn Cuda DO
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1588613988
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1770532293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1225278963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453950",
"telephone_number": "215-334-3869",
"fax_number": "215-755-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453950",
"telephone_number": "215-334-3869",
"fax_number": "215-755-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA LYN CUDA, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "CUDA",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-334-3869",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HBS",
"identifier": "2038856",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.