Active NPI
Venee Nicole Cunningham, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1639340706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012499
- Practice address
- 550 1St Ave
New York, NY 10016 - Phone
- (212) 263-0250
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012499 | NY | Primary |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016
Mailing address
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-3293
Other practice location 1
550 1st Ave
New York, NY 10016
Phone (212) 263-0250
Other practice location 2
1345 Rxr Plz
Uniondale, NY 11556-1301
Phone (516) 453-0435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03156127 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vcunningham40784@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012499 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Bimc Faculty Practice | Physician Assistant | Past | Accepting new patients |
| Northwell Health Laboratories | Past | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- vcunningham40784@nyumc.direct-ci.com
Organizations & group practices 11
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1457643785
-
- Urgent Care Clinic/Center
- East Meadow, NY
- NPI 1376991414
-
- Urgent Care Clinic/Center
- Mineola, NY
- NPI 1336426667
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Clinical Medical Laboratory
- New Hyde Park, NY
- NPI 1366543795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1639340706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-3293",
"fax_number": "212-263-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-0250"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "212-263-0250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 Rxr Plz",
"address_purpose": "LOCATION",
"city": "Uniondale",
"state": "NY",
"postal_code": "115561301",
"country_code": "US",
"telephone_number": "516-453-0435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "VENEE",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03156127",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcunningham40784@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "550 1st Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.