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Maria Dawn Cupo, AG-ACNP-BC

Nurse Practitioner, Acute Care in Hazlet, NJ. Individual provider (NPI-1).

NPI number1609590918
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1609590918
Entity type
Individual (NPI-1)
Name
Mrs. Maria Dawn Cupo
Credential
AG-ACNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 29, 2022
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
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 codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care432504NYYes
163W00000X Registered Nurse676148NY

Practice location

34 Buttonwood Pl
Hazlet, NJ 07730-2109

Phone 347-596-7114

Mailing address

34 Buttonwood Pl
Hazlet, NJ 07730-2109

Phone 347-596-7114

Other practice locations

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-9000

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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