Active NPI
Dr. Jay Eric Cunningham
- Durable Medical Equipment & Medical Supplies
- Connellsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- SC004557R
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4423850001 | Other | PA | PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Connellsville, PA
- NPI 1306800073
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.