Organization Active NPI

Dr Cutugno Oncology and Hematology Specialist PLLC

  • Specialist
  • Kingston, NY
National Provider Identifier
1396790952
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
210263 Issued in NY
Legal business name
DR CUTUGNO ONCOLOGY AND HEMATOLOGY SPECIALIST PLLC
Practice address
105 Marys Ave
Suite 1
Kingston, NY 12401-5848
Phone
(845) 340-2100
Fax
(845) 340-0202
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Alfonso Cutugno, MD
Title
Sole MBR
Phone
(845) 340-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 210263 NY Primary

Addresses

Primary practice location

105 Marys Ave
Suite 1
Kingston, NY 12401-5848

Mailing address

105 Marys Ave
Suite 1
Kingston, NY 12401-5848
Phone (845) 340-2100

Other identifiers 1

IdentifierTypeStateIssuer
01856468MedicaidNY

National Provider Directory

National Provider Directory

Locations

105 Marys Ave
Ste 1
Kingston, NY 12401
Phone (845) 340-2100

105 Marys Ave
#1
Kingston, NY 12401
Phone (845) 334-3180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1396790952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "address_2": "SUITE 1",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015848",
            "telephone_number": "845-340-2100",
            "fax_number": "845-340-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "address_2": "SUITE 1",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015848",
            "telephone_number": "845-340-2100",
            "fax_number": "845-340-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CUTUGNO ONCOLOGY AND HEMATOLOGY SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "CUTUGNO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "845-340-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "210263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.