Individual provider Active NPI

Maria Victoria Moreno Cuttle, MD

  • Family Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1801052253
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265367 Issued in NY
Practice address
8010 Northern Blvd
Jackson Heights, NY 11372-1345
Phone
(718) 429-2800
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-01940 NC
Adult Medicine Physician 207QA0505X 265367 NY
Family Medicine Physician 207Q00000X 265367 NY Primary

Addresses

Primary practice location

8010 Northern Blvd
Jackson Heights, NY 11372-1345

Mailing address

372 Dekalb Ave Apt 3E
Brooklyn, NY 11205-3832
Phone (917) 757-7446

Other practice location 1

54 Sunnyside Blvd Ste E
Plainview, NY 11803
Phone (516) 506-7776

Other practice location 2

54 Sunnyside Blvd Ste E
Plainview, NY 11803
Phone (516) 506-7776

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01940NCMDFamily Medicine Physician
265367NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Associates of Long Island PLLC Family Medicine Past Accepting new patients
Retina & Ophthalmology Services of New York PLLC Past Accepting new patients

Organizations & group practices 2

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1801052253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 DEKALB AVE APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053832",
            "telephone_number": "917-757-7446",
            "fax_number": "516-719-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721345",
            "telephone_number": "718-429-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Sunnyside Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "11803",
            "country_code": "US",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Sunnyside Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "11803",
            "country_code": "US",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO CUTTLE",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01940",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "265367",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.