MS. GWENDOLYN CUNNINGHAM PA
NPI 1154406031
Physician Assistant - Medical in New York, NY
About Ms. Gwendolyn Cunningham Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. GWENDOLYN CUNNINGHAM PA (NPI 1154406031) is an individual medical provider in New York, New York, licensed in New York (011459) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Gwendolyn Cunningham Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gwendolyn Cunningham's NPI number?
The NPI number for Gwendolyn Cunningham is 1154406031. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is Gwendolyn Cunningham located?
Gwendolyn Cunningham practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.
What is Gwendolyn Cunningham's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gwendolyn Cunningham enrolled in Medicare?
Yes. Gwendolyn Cunningham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gwendolyn Cunningham was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Gwendolyn Cunningham, PA · NPI 1154406031
Medical physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1154406031 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 011459 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 622 W 168TH ST, New York, NY 10032-3720
- **Phone:** (212) 305-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 19, 2011
- **Other identifiers:** Medicaid 00246075 (NY); Medicare ID-Type Unspecified 00330231 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154406031) · Data from the CMS NPPES public registry.