Physician Compare National (NPI:1033256243)

HEALTHCARE PROVIDER: MICHAEL J CUNNINGHAM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033256243
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466547377
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090617000498
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CUNNINGHAM
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	733 N BEERS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE L3
	Group Practice or individual's line 2 address
City	HOLMDEL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077330234
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310112
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYSHORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310039
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y