Organization Active NPI

Dr. Jay Eric Cunningham

  • Durable Medical Equipment & Medical Supplies
  • Connellsville, PA
National Provider Identifier
1659557577
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
SC004557R Issued in PA
Legal business name
DR. JAY ERIC CUNNINGHAM
Practice address
2616 Memorial Blvd Ste D
Connellsville, PA 15425-1418
Phone
(724) 626-7620
NPI assigned
Jan 10, 2008
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jay Eric Cunningham, D.P.M.NPI 1306800073
Title
Podiatrist
Phone
(724) 626-7620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC004557R PA Primary

Addresses

Primary practice location

2616 Memorial Blvd Ste D
Connellsville, PA 15425-1418

Mailing address

2616 Memorial Blvd
Suite D
Connellsville, PA 15425-1418
Phone (724) 626-7620

Other identifiers 1

IdentifierTypeStateIssuer
4423850001OtherPAPTAN

National Provider Directory

National Provider Directory

Locations

2616 Memorial Blvd
Ste D
Connellsville, PA 15425
Phone (724) 626-7620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1659557577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD",
            "address_2": "SUITE D",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-626-7620",
            "fax_number": "724-626-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD STE D",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-626-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAY ERIC CUNNINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "724-626-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC004557R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4423850001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.