Active NPI
Tawanda Michelle Cunningham-Blakeney, MS ED
- Specialist
- Newark, NJ
National Provider Identifier
1285072314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 691695
- Practice address
- 57 W End Ave
Newark, NJ 07106-1929 - Phone
- (973) 230-8177
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 691695 | NY | Primary |
Addresses
Primary practice location
57 W End Ave
Newark, NJ 07106-1929
Mailing address
57 W End Ave
Newark, NJ 07106-1929
Phone (973) 230-8177
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691695 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCB Early Childhd Developmental SRV | 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.
-
- Early Intervention Provider Agency
- Newark, NJ
- NPI 1467926899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1285072314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W END AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071061929",
"telephone_number": "973-230-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W END AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071061929",
"telephone_number": "973-230-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM-BLAKENEY",
"first_name": "TAWANDA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MS ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "691695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.