NPI Code Detail JSON Logo

1891616207 NPI number — SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP

NPI Number: 1891616207
Health Care Provider/Practitioner: SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP

Information about “1891616207” NPI (SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP) exists in 1891616207 in HTML format HTML  |  1891616207 in plain Text format TXT  |  1891616207 in PDF (Portable Document Format) PDF  |  1891616207 in an XML format XML  formats.

NPI Number : 1891616207 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891616207",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4000 MEDICAL CENTER DRIVE",
    "SecondLineMailingAddress": "SUITE B13",
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-671-4289",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4000 MEDICAL CENTER DRIVE",
    "SecondLinePracticeLocationAddress": "SUITE B13",
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-671-4289",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2026",
    "LastUpdateDate": "07/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCUTARI",
    "AuthorizedOfficialFirstName": "PASQUALE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/ORAL SURGEON",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "315-263-4630",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "204E00000X",
        "TaxonomyName": "Oral & Maxillofacial Surgery (D.M.D.)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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