Organization Active NPI

T. Anthony Cumbo MD PLLC

  • Infectious Disease Physician
  • Lewiston, NY
National Provider Identifier
1245210145
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
226644 Issued in NY
Legal business name
T. ANTHONY CUMBO MD PLLC
Practice address
1150 Youngs Rd
#210
Lewiston, NY 14092
Phone
(866) 575-4157
NPI assigned
Jan 18, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Thomas Anthony Cumbo, MDNPI 1982744504
Title
Owner/Operator
Phone
(866) 575-4157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 226644 NY Primary

Addresses

Primary practice location

1150 Youngs Rd
#210
Lewiston, NY 14092

Mailing address

793 Center St.
#482
Lewiston, NY 14092
Phone (866) 575-4157

Other identifiers 3

IdentifierTypeStateIssuer
3413004OtherNYINDEPENDANT HEALTH
000528277001OtherNYBLUE CROSS / BLUE SHIELD
02664579MedicaidNY

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1245210145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 CENTER ST.",
            "address_2": "#482",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "14092",
            "telephone_number": "866-575-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "#210",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "14092",
            "telephone_number": "866-575-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. ANTHONY CUMBO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "CUMBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "866-575-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "226644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "3413004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "000528277001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02664579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.