Individual provider Active NPI

Katherine Elizabeth Cucuzza, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1881291441
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346676 Issued in NY
Practice address
35 E Grassy Sprain Rd
Ste 102
Yonkers, NY 10710-4612
Phone
(914) 652-7477
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346676 NY Primary

Addresses

Primary practice location

35 E Grassy Sprain Rd
Ste 102
Yonkers, NY 10710-4612

Mailing address

19 Deerhurst Rd
Scarsdale, NY 10583-4714
Phone (617) 447-9177

Other names 1

  • Katherine Elizabeth Rufo Former name

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
346676NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Medical World PC PastSince Oct 11, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.rufo.1@12952.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12952/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1881291441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DEERHURST RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834714",
            "telephone_number": "617-447-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E GRASSY SPRAIN RD",
            "address_2": "STE 102",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104612",
            "telephone_number": "914-652-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCUZZA",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RUFO",
            "middle_name": "ELIZABETH",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.