Active NPI
Lynnette Cukaj, MD
- Pediatric Gastroenterology Physician
- Hawthorne, NY
National Provider Identifier
1447250295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 197152
- Practice address
- 19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140 - Phone
- (914) 367-0000
- Fax
- (914) 367-0001
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 197152 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140
Mailing address
22 Saw Mill River Rd
2ND Floor
Hawthorne, NY 10532-1533
Phone (914) 367-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01719084 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester County Health Care Corporation | Past | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatric Gastroenterology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lynnette.cukaj.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatric Gastroenterology
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1447250295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER RD",
"address_2": "2ND FLOOR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321533",
"telephone_number": "914-367-0000",
"fax_number": "914-367-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "STE. 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-367-0000",
"fax_number": "914-367-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUKAJ",
"first_name": "LYNNETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "197152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01719084",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.