Provider Demographics
NPI:1639107048
Name:CUOMO, THOMAS F (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:CUOMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:SO ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079
Mailing Address - Country:US
Mailing Address - Phone:973-762-8344
Mailing Address - Fax:973-762-1626
Practice Address - Street 1:61 1ST ST
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1900
Practice Address - Country:US
Practice Address - Phone:973-762-8344
Practice Address - Fax:973-762-1626
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA02971900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2K5162OtherHEALTHNET
P2525900OtherOXFORD
260070396OtherHORIZON
3311372OtherAETNA
260070395OtherALL OTHER CARRIERS
NJ3241700Medicaid
NJ48965OtherUS HEALTHCARE
F07057OtherPHS
NJ513697SGHMedicare ID - Type Unspecified
C56612Medicare UPIN