Michael F Cucciniello, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

328551-1 Issued in NY

Practice address

25 Montauk Hwy.
Quogue, NY 11959-1782

Phone

(631) 653-6112

Fax

(631) 653-5899

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467654822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1782",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119591782",
            "telephone_number": "631-653-6112",
            "fax_number": "631-653-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MONTAUK HWY.",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119591782",
            "telephone_number": "631-653-6112",
            "fax_number": "631-653-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCINIELLO",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "328551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Ames
• Lewis Seth Anreder, M.D.
• Barbara Ann Shultz, PHD, Psychologist, PLLC
• Stephanie Claire Burns, NP-C
• John Calisi
• Elizabeth Plate LCSW PLLC
• Paul James Endres, M.D.
• Leonard Fagen, D.P.M.
• Susan Feldman, PT, PHD
• Hamptons Plastic Surgery, PLLC

• Certified Registered Nurse Anesthetist in Quogue, NY
• Providers in Quogue, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.