1396700977 NPI number — JOSEPH W CAVUOTO DPM

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396700977 NPI number — JOSEPH W CAVUOTO DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAVUOTO
Provider First Name:
JOSEPH
Provider Middle Name:
W
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396700977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1147 FRONT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIONDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-483-8895
Provider Business Mailing Address Fax Number:
516-483-4660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1147 FRONT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-483-8895
Provider Business Practice Location Address Fax Number:
516-483-4660
Provider Enumeration Date:
04/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  N002567 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 275383 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P29481 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AS5014 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: IC58321 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0037779 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 002567C27 . This is a "HEALTH FIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 09222280004 . This is a "HEALTHNOW NEW YORK INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 480013306 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".




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