NPIMap

Individual provider Active NPI

Anthony M Cusanelli, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Baltimore, MD
National Provider Identifier
1043736796
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
6600 York Rd Ste 210
Baltimore, MD 21212-2024
Phone
(410) 983-9246
Fax
(410) 995-2124
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

6600 York Rd Ste 210
Baltimore, MD 21212-2024

Mailing address

307 S Henry St
Alexandria, VA 22314-5900
Phone (410) 983-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Neuromonitoring, LLC Electroneurodiagnostic CurrentSince Apr 5, 2020 Accepting new patients
Precision Neurotechs LLC Electroneurodiagnostic CurrentSince Apr 5, 2020 Accepting new patients

Locations

6600 York Rd
Ste 210
Baltimore, MD 21212
Phone (410) 983-9246

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043736796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S HENRY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145900",
            "telephone_number": "410-983-9246",
            "fax_number": "410-995-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122024",
            "telephone_number": "410-983-9246",
            "fax_number": "410-995-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSANELLI",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.