Active NPI
Dr Cutugno Oncology and Hematology Specialist PLLC
- Specialist
- Kingston, NY
National Provider Identifier
1396790952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 210263
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01856468 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Kingston, NY
- NPI 1518070689
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.