Lillie Gloria Cutugno, PA-C
Physician Assistant in Sewell, NJ. Individual provider (NPI-1).
NPI number1306543053
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1306543053
- Entity type
- Individual (NPI-1)
- Name
- Lillie Gloria Cutugno
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2023
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00760500 | NJ | Yes |
Practice location
150 Delsea Dr Ste BSewell, NJ 08080-9414
Phone 856-302-0500
Mailing address
401 Route 73 N Ste 320Marlton, NJ 08053-3426
Phone 856-302-0500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Physician Assistant providers in Sewell · All 1,187 providers in Sewell
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