Active NPI
Thomas F Cuomo, MD
- Orthopaedic Surgery Physician
- South Orange, NJ
National Provider Identifier
1639107048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA02971900
- Practice address
- 61 1St St
South Orange, NJ 07079-1900 - Phone
- (973) 762-8344
- Fax
- (973) 762-1626
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA02971900 | NJ | Primary |
Addresses
Primary practice location
61 1St St
South Orange, NJ 07079-1900
Mailing address
61 First Street
So Orange, NJ 07079
Phone (973) 762-8344
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2K5162 | Other | HEALTHNET | |
| P2525900 | Other | OXFORD | |
| 260070396 | Other | HORIZON | |
| 3311372 | Other | AETNA | |
| 260070395 | Other | ALL OTHER CARRIERS | |
| 3241700 | Medicaid | NJ | |
| 48965 | Other | NJ | US HEALTHCARE |
| F07057 | Other | PHS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA02971900 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1639107048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 FIRST STREET",
"city": "SO ORANGE",
"state": "NJ",
"postal_code": "07079",
"telephone_number": "973-762-8344",
"fax_number": "973-762-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 1ST ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791900",
"telephone_number": "973-762-8344",
"fax_number": "973-762-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUOMO",
"first_name": "THOMAS",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA02971900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K5162",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2525900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "260070396",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3311372",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER CARRIERS",
"identifier": "260070395",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3241700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "48965",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "F07057",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.