Cynthia C Cudjoe, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD32880 Issued in DC

Practice address

1140 N Capitol St NW
Suite #924
Washington, DC 20002-7583

Phone

(202) 589-1505

Fax

(202) 589-1534

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Safe Haven Outreach Ministry, Inc.

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
  • NPI 1417130683
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730226267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 ALLISTON HOLLOW WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791659",
            "telephone_number": "240-401-0224",
            "fax_number": "301-760-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N CAPITOL ST NW",
            "address_2": "SUITE #924",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027583",
            "telephone_number": "202-589-1505",
            "fax_number": "202-589-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDJOE",
        "first_name": "CYNTHIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "DC",
            "license": "MD32880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricel Mercado Cubangbang, M.D.
• Jeffrey Kilham Cubeta, LPC, CC, MS
• Adalia Cubie, PTA
• Brenda Cuccherini, PH.D., RN, NP
• Laura Maria Cucinotta, MS, OTR
• Marilyn Cudjoe
• Peter K Cudjoe III, D.D.S
• Christal Cudworth, MS, CCC/SLP
• Ann Theresa Cuebas, LICSW, LCSW
• Carlos Cuellar Castillo

• Addiction Medicine (Family Medicine) Physician in Washington, DC
• Providers in Washington, DC by specialty
• Addiction Medicine (Family Medicine) Physician in District of Columbia

• 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.