Individual provider Active NPI

Kathleen M Cuddihy, M.D.

  • Pediatrics Physician
  • New Providence, NJ
National Provider Identifier
1699847285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA068734 Issued in NJ
Practice address
180 South St
New Providence, NJ 07974-1991
Phone
(908) 771-9824
Fax
(908) 771-9674
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA068734 NJ Primary

Addresses

Primary practice location

180 South St
New Providence, NJ 07974-1991

Mailing address

180 South St
New Providence, NJ 07974-1991
Phone (908) 771-9824

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

LicenseStateTypeSpecialty
MA068734NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Medical Group, PC Past Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients
Springfield Family Practice, LLC PastSince Aug 11, 2012 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699847285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SOUTH ST",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741991",
            "telephone_number": "908-771-9824",
            "fax_number": "908-771-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SOUTH ST",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741991",
            "telephone_number": "908-771-9824",
            "fax_number": "908-771-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDIHY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA068734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.