Organization Active NPI

Donato R Carusi, M. D.

  • Eyewear Supplier
  • Johnstown, PA
National Provider Identifier
1023294394
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MD036849E Issued in PA
Legal business name
DONATO R CARUSI, M. D.
Practice address
321 Main St
Suite 4B
Johnstown, PA 15901-1632
Phone
(814) 535-7661
Fax
(814) 535-3106
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donato R Carusi, M. D.NPI 1740243039
Title
Proprietor
Phone
(814) 535-7661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MD036849E PA Primary

Addresses

Primary practice location

321 Main St
Suite 4B
Johnstown, PA 15901-1632

Mailing address

321 Main St
Suite 4B
Johnstown, PA 15901-1632
Phone (814) 535-7661

Other identifiers 1

IdentifierTypeStateIssuer
0010592090002MedicaidPA

National Provider Directory

National Provider Directory

Locations

321 Main St
Ste 4B
Johnstown, PA 15901
Phone (814) 535-7661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1023294394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "address_2": "SUITE 4B",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-535-7661",
            "fax_number": "814-535-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "address_2": "SUITE 4B",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-535-7661",
            "fax_number": "814-535-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONATO R CARUSI, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "CARUSI",
        "authorized_official_first_name": "DONATO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "814-535-7661",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "MD036849E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010592090002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.