Individual provider Active NPI

Cynthia Paige, M.D.

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1811900608
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338725 Issued in LA
Practice address
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone
(504) 264-5142
Fax
(504) 455-2648
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 25MA05621900 NJ
Family Medicine Physician 207Q00000X ME148626 FL
Family Medicine Physician 207Q00000X 338725 LA Primary

Addresses

Primary practice location

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203

Mailing address

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone (504) 264-5142

Other practice location 1

405 Northfield Ave
West Orange, NJ 07052-3026
Phone (973) 669-2820

Other identifiers 1

IdentifierTypeStateIssuer
5202302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210517000923 FL Practitioner - Family Practice 2466633581 Reassigns benefits to 1 organization
I20220608001906 NC Practitioner - Family Practice 2466633581
I20231106001017 LA Practitioner - Family Practice 2466633581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
338725LAMDFamily Medicine Physician
25MA05621900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR la Holding, LLC CurrentSince Sep 24, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2021 Accepting new patients
Jencare Neighborhood Medical Metairie, LLC CurrentSince Sep 24, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2021 Accepting new patients
Summit Medical Group, Inc Family Medicine Past Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2724 N Hiawassee Rd
Ste 200
Orlando, FL 32818
Phone (407) 906-0082

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599

Organizations & group practices 5

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1811900608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064203",
            "telephone_number": "504-264-5142",
            "fax_number": "504-455-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064203",
            "telephone_number": "504-264-5142",
            "fax_number": "504-455-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Northfield Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070523026",
            "country_code": "US",
            "telephone_number": "973-669-2820",
            "fax_number": "973-669-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05621900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME148626",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "338725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5202302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.