Active NPI
Marietta P Cutrone, NP
- Pediatric Nurse Practitioner
- Webster, NY
National Provider Identifier
1295799476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 380399
- Practice address
- 2000 Empire Blvd
Suite 150
Webster, NY 14580-1957 - Phone
- (585) 787-1250
- Fax
- (585) 787-1253
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 380399 | NY | Primary |
Addresses
Primary practice location
2000 Empire Blvd
Suite 150
Webster, NY 14580-1957
Mailing address
2000 Empire Blvd
Suite 150
Webster, NY 14580-1957
Phone (585) 787-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01951239 | Medicaid | NY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380399 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penfield Pediatrics, LLC | 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.
-
- Pediatrics Physician
- Penfield, NY
- NPI 1629159496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1295799476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EMPIRE BLVD",
"address_2": "SUITE 150",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801957",
"telephone_number": "585-787-1250",
"fax_number": "585-787-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EMPIRE BLVD",
"address_2": "SUITE 150",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801957",
"telephone_number": "585-787-1250",
"fax_number": "585-787-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTRONE",
"first_name": "MARIETTA",
"middle_name": "P",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "380399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01951239",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.