Ellen E Cunningham MD,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07362900 Issued in NJ

Legal business name

ELLEN E CUNNINGHAM MD,LLC

Practice address

1425 Pompton Ave Ste 1-1
Cedar Grove, NJ 07009-1043

Phone

(973) 785-8686

Fax

(973) 785-8680

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ellen E Cunningham, M.D.

Title

Owner

Phone

(973) 785-8686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1376773846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE STE 1-1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-8686",
            "fax_number": "973-785-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE STE 1-1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-8686",
            "fax_number": "973-785-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN E CUNNINGHAM MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-785-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07362900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesta Angela Gamo Dumalag, PT
• Rita Dyer
• Gelania Yvonne Eaddy, COTA
• East Coast Counseling Services
• Elana R Einhorn, PT
• Madiha A Eltaki
• Rebecca Ernst
• Essex Regional Educational Services Commission
• Nina Lourdes Evangelista, DPT
• Krista Evans

• Specialist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.