Active NPI
Lillie Gloria Cutugno, PA-C
- Physician Assistant
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00760500
- Practice address
- 150 Delsea Dr Ste B
Sewell, NJ 08080-9414 - Phone
- (856) 302-0500
- NPI assigned
- Feb 13, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00760500 | NJ | Primary |
Addresses
Primary practice location
150 Delsea Dr Ste B
Sewell, NJ 08080-9414
Mailing address
401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 302-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230320000016 | NJ | Practitioner - Physician Assistant | 9335513167 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
150 Delsea Dr
Suite B
Sewell, NJ 08080-9478
Phone (856) 302-0500
Hospital & facility affiliations
- Virtua Mount Holly Hospital
- Inspira Medical Center Mullica Hill
- West Jersey Hospital
- Inspira Medical Center Vineland
- Virtua Our Lady of Lourdes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
2026 Briggs Rd
Ste C
Mount Laurel, NJ 08054
Phone (856) 234-4436
150 Delsea Dr
Ste B
Sewell, NJ 08080
Phone (856) 302-0500
1051 W Sherman Ave
Ste 1B
Vineland, NJ 08360
Phone (856) 205-0606
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
Hospital
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1306543053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROUTE 73 N STE 320",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533426",
"telephone_number": "856-302-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DELSEA DR STE B",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080809414",
"telephone_number": "856-302-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTUGNO",
"first_name": "LILLIE",
"middle_name": "GLORIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00760500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.