Active NPI
Carla S Cuoci-Malin, D.O.
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1598188401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006207L
- Practice address
- 9331 Old Bustleton Ave
Suite100A
Philadelphia, PA 19115-4204 - Phone
- (215) 671-0653
- NPI assigned
- Jan 28, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006207L | PA | Primary |
Addresses
Primary practice location
9331 Old Bustleton Ave
Suite100A
Philadelphia, PA 19115-4204
Mailing address
2450 W Hunting Park Ave
2ND Floor Tpi
Philadelphia, PA 19129-1302
Phone (215) 926-9022
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006207L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1598188401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"address_2": "2ND FLOOR TPI",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-926-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9331 OLD BUSTLETON AVE",
"address_2": "SUITE100A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154204",
"telephone_number": "215-671-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUOCI-MALIN",
"first_name": "CARLA",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006207L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.