Active NPI
Joanne C. Cunanan, MD
- Internal Medicine Physician
- Sicklerville, NJ
National Provider Identifier
1639152663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11943
- Practice address
- 18 Log Cabin Rd
Sicklerville, NJ 08081-5655 - Phone
- (401) 741-5644
- NPI assigned
- Nov 23, 2005
- Last updated
- Nov 26, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD11943 | RI | Primary |
Addresses
Primary practice location
18 Log Cabin Rd
Sicklerville, NJ 08081-5655
Mailing address
18 Log Cabin Rd
Sicklerville, NJ 08081-5655
Phone (401) 741-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1933 | Other | RI | NEIHBORHOOD HEALTH PLAN |
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 |
|---|---|---|---|
| MD11943 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Past | Accepting new patients | |
| Memorial Hospital | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1639152663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LOG CABIN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815655",
"telephone_number": "401-741-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LOG CABIN RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815655",
"telephone_number": "401-741-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNANAN",
"first_name": "JOANNE",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD11943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIHBORHOOD HEALTH PLAN",
"identifier": "1933",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.