Active NPI
Linda M Cunningham, PA-C
- Physician Assistant
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020099-1
- Practice address
- 21 Old Route 6
Carmel, NY 10512-2107 - Phone
- (845) 225-5202
- Fax
- (845) 225-0700
- NPI assigned
- Oct 27, 2016
- Last updated
- Nov 24, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020099-1 | NY | Primary |
Addresses
Primary practice location
21 Old Route 6
Carmel, NY 10512-2107
Mailing address
79 Glenridge Rd
Glenville, NY 12302-4523
Other practice location 1
396 Broadway
Kingston, NY 12401-4626
Phone (845) 489-2826
Other practice location 2
75 Seminary Hill Rd
Carmel, NY 10512-1921
Phone (845) 225-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420795 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Old Route 6
Carmel, NY 10512-2107
Phone (845) 225-5202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020099-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres Inc | Current | Accepting new patients | |
| Arms Acres Inc | Current | Accepting new patients | |
| Arms Acres Inc | Past | Accepting new patients |
Locations
3584 Jerome Ave
Bronx, NY 10467
Phone (718) 231-4443
21 Old Route 6
Carmel, NY 10512
Phone (845) 225-5202
75 Seminary Hill Rd
Carmel, NY 10512
Phone (800) 989-2676
9002 161st St
Jamaica, NY 11432
Phone (718) 520-1513
79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1811949589
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamaica, NY
- NPI 1437106994
-
- Substance Abuse Rehabilitation Facility
- Carmel, NY
- NPI 1447271267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1457803298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 GLENRIDGE RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 OLD ROUTE 6",
"city": "CARMEL",
"state": "NY",
"postal_code": "105122107",
"telephone_number": "845-225-5202",
"fax_number": "845-225-0700"
}
],
"practiceLocations": [
{
"address_1": "396 Broadway",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124014626",
"country_code": "US",
"telephone_number": "845-489-2826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Seminary Hill Rd",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105121921",
"country_code": "US",
"telephone_number": "845-225-3400",
"fax_number": "845-704-6182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "LINDA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020099-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.