Active NPI
Anthony Lee Cucuzzella, MD
- Physical Medicine & Rehabilitation Physician
- Newark, DE
National Provider Identifier
1710948260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- C10000217
- Practice address
- 4735 Ogletown-Stanton Rd
Suite 2210
Newark, DE 19713 - Phone
- (302) 623-4144
- Fax
- (602) 623-4147
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | C10000217 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown-Stanton Rd
Suite 2210
Newark, DE 19713
Mailing address
4735 Ogletown-Stanton Rd
Suite 2210
Newark, DE 19713
Phone (302) 623-4144
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 754219 | Other | DE | UNITED HEALTH CARE |
| 4198420 | Other | DE | AETNA |
| 0071916000 | Other | DE | AMERIHEALTH |
| 510110596 | Other | DE | BCBS DE |
| 190B | Other | DE | COVENTRY |
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 |
|---|---|---|---|
| C10000217 | DE | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1710948260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN-STANTON RD",
"address_2": "SUITE 2210",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-623-4144",
"fax_number": "602-623-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN-STANTON RD",
"address_2": "SUITE 2210",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-623-4144",
"fax_number": "602-623-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCUZZELLA",
"first_name": "ANTHONY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "DE",
"license": "C10000217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "754219",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4198420",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0071916000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DE",
"identifier": "510110596",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "190B",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.