Active NPI
Robert Louis Cucin, M.D.
- Plastic Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1568529675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 114103
- Practice address
- 1701 S Flagler Dr
Suite 607
West Palm Beach, FL 33401-7341 - Phone
- (561) 651-7816
- Fax
- (561) 651-7808
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 114103 | NY | Primary |
Addresses
Primary practice location
1701 S Flagler Dr
Suite 607
West Palm Beach, FL 33401-7341
Mailing address
1701 S Flagler Dr
Suite 607
West Palm Beach, FL 33401-7341
Phone (212) 586-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SAM 7224758 | Other | NY | WORKMAN'S COMP. NO. |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114103 | NY | MD | Plastic Surgery Physician |
Interoperability endpoints
- rlc2003@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1568529675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S FLAGLER DR",
"address_2": "SUITE 607",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334017341",
"telephone_number": "212-586-9500",
"fax_number": "561-651-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S FLAGLER DR",
"address_2": "SUITE 607",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334017341",
"telephone_number": "561-651-7816",
"fax_number": "561-651-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCIN",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "114103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMAN'S COMP. NO.",
"identifier": "SAM 7224758",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.