Basic Information
| Provider Information | |||||||||
| NPI: | 1710921911 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARCURI | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 408 W 14TH ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100141042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125300639 | ||||||||
| FaxNumber: | 2128674353 | ||||||||
| Practice Location | |||||||||
| Address1: | 408 W 14TH ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100141042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125300639 | ||||||||
| FaxNumber: | 2128674353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 04/04/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 25MA08693200 | NJ | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 261922 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1055139 | 01 | MN | ARAZ | OTHER | 0058604 | 05 | MT | MEDICAID | 140054 | 01 | MN | UCARE | OTHER | HP31246 | 01 | MN | HEALTHPARTNERS | OTHER | 04-05068 | 01 | MN | MEDICA CHOICE & PRIMARY | OTHER | 178475700 | 05 | MN | MEDICAID | 34320500 | 05 | WI | MEDICAID | 7777470 | 05 | SD | MEDICAID | 0559740 | 05 | IA | MEDICAID | 1024761 | 01 | MN | PREFERRED ONE | OTHER | 10387 | 05 | ND | MEDICAID |