Active NPI
Nicole Cuccurullo, MS, ATC
- Athletic Trainer
- Hempstead, NY
National Provider Identifier
1932695293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002396
- Practice address
- 230 Hofstra University
Hempstead, NY 11549-2300 - Phone
- (516) 463-6085
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002396 | NY | Primary |
Addresses
Primary practice location
230 Hofstra University
Hempstead, NY 11549-2300
Mailing address
7 Gorham LN
Smithtown, NY 11787-4701
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002396 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1932695293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GORHAM LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HOFSTRA UNIVERSITY",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115492300",
"telephone_number": "516-463-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCCURULLO",
"first_name": "NICOLE",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.