Cheryl A Kuponiyi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04695100 Issued in NJ

Practice address

4127 Atlantic Ave
Atlantic City, NJ 08401-5829

Phone

(609) 601-6366

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Island Medical Associates,PA

  • Addiction Medicine (Internal Medicine) Physician
  • Egg Harbor TWP, NJ
  • NPI 1740292119
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1356381198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015829",
            "telephone_number": "609-601-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015829",
            "telephone_number": "609-601-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPONIYI",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04695100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Stephen Konchak, D.O.
• Morgen-Nicolle Kottler
• Panagiotis L Koutsoupias, DO
• Kayla Kruk, PA-C
• Rakesh Kundalia
• Arthur Kwok, MD
• Anna Lahori
• Vikram Lal, DO
• Areej Lalani, MD
• Vincent Lam

• Pediatrics Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.