Mary Ellen Cuccaro, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-029763-L Issued in PA

Practice address

7171 Churchland Street
East Liberty Family Health Care Center
Pittsburgh, PA 15206

Phone

(412) 361-8284

Fax

(412) 361-8268

NPI assigned

Nov 2, 2005

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1366433062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND STREET",
            "address_2": "EAST LIBERTY FAMILY HEALTH CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND STREET",
            "address_2": "EAST LIBERTY FAMILY HEALTH CARE CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCARO",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-029763-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Csonka Optometric PC
• David Joseph Csonka, OD
• Susan Nieves Csonka, O.D.
• Ashlee Marie Cubarney
• Andrew John Cubbison, MS, LAT, ATC, PES
• Alyssa Ciera Cudanin
• Michael Allen Cuddy, DMD
• Nicole Darrah Cuddy, PA-C
• Rosemarie Cuddy
• Stephanie Nicole Cuddy, LSW

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.