Individual provider Active NPI

Matthew Cucurello

  • Acute Care Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1386525012
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
15281 Issued in CT
Practice address
440 Prospect St Apt 2
New Haven, CT 06511-2153
Phone
(203) 500-8698
NPI assigned
Sep 9, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 15281 CT Primary

Addresses

Primary practice location

440 Prospect St Apt 2
New Haven, CT 06511-2153

Mailing address

498 Wolcott LN
Orange, CT 06477-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001689 CT Order and Referring Only - Nurse Practitioner 9739677543

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 Indian River Rd
Suite C7
Orange, CT 06477-3690

498 Wolcott LN
Orange, CT 06477-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15281CTMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1386525012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WOLCOTT LN",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PROSPECT ST APT 2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112153",
            "telephone_number": "203-500-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCURELLO",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "15281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.