Individual provider Active NPI

Gina Marie Cucchiara, DDS

  • General Practice Dentistry
  • Howard Beach, NY
National Provider Identifier
1255610499
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055681 Issued in NY
Practice address
15120 88TH St Ste LL
Howard Beach, NY 11414-2034
Phone
(718) 848-6177
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055681 NY Primary

Addresses

Primary practice location

15120 88TH St Ste LL
Howard Beach, NY 11414-2034

Mailing address

15120 88TH St Ste LL
Howard Beach, NY 11414-2034
Phone (718) 848-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106000671 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466754510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: gcucchiara134125@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1255610499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 88TH ST STE LL",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142034",
            "telephone_number": "718-848-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 88TH ST STE LL",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142034",
            "telephone_number": "718-848-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCHIARA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.