Physician Compare National (NPI:1639439953)

HEALTHCARE PROVIDER: VICTOR CUETO JR. 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	1639439953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527359934
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170317002094
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CUETO
	Individual professional last name
Provider First Name	VICTOR
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NEWARK COMMUNITY HEALTH CENTERS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2163334665
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	27
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	92 -96 FERRY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	IRONBOUND MEDICAL AND DENTAL CLINIC
	Group Practice or individual's line 2 address
City	NEWARK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	071044309
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9738034510
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310119
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y