Corey A McCutcheon

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

22MC1381312 Issued in NY

Practice address

55 Griffing Ave
Westhampton Beach, NY 11978-2305

Phone

(917) 474-0263

NPI assigned

Aug 24, 2023

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1881478253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GRIFFING AVE",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GRIFFING AVE",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782305",
            "telephone_number": "917-474-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "COREY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": "NY",
            "license": "22MC1381312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Juan Martinez, LMT
• Mauro V. Dibenedetto DMD PC
• Theresa McCall, RN
• Grace McCarthy, NYS LMT, FL LMT
• Kathleen McCormick, LPN
• Fiona McGee, LMSW
• Robyn Hiller McGee, LMSW
• Catherine Ann McGlone
• Christine McKay, P.T.
• Jennifer McManus

• Prosthetist in Westhampton Beach, NY
• Providers in Westhampton Beach, NY by specialty
• Prosthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.