Individual provider Active NPI

Gina Cuccurullo-Schiavo, DMD

  • General Practice Dentistry
  • Bethpage, NY
National Provider Identifier
1841465705
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053543 Issued in NY
Practice address
4250 Hempstead Tpke
Suite 7
Bethpage, NY 11714-5711
Phone
(516) 735-3550
Fax
(516) 735-8067
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053543 NY Primary

Addresses

Primary practice location

4250 Hempstead Tpke
Suite 7
Bethpage, NY 11714-5711

Mailing address

4250 Hempstead Tpke
Suite 7
Bethpage, NY 11714-5711
Phone (516) 735-3550

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

State licenses

LicenseStateTypeSpecialty
053543NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1841465705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 7",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-735-3550",
            "fax_number": "516-735-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 7",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-735-3550",
            "fax_number": "516-735-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCURULLO-SCHIAVO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.