Active NPI
Casey J Fusco
- Surgical Physician Assistant
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 6817
- Practice address
- 275 Mount Carmel Ave
Hamden, CT 06518-1961 - Phone
- (603) 520-3403
- NPI assigned
- Apr 20, 2018
- Last updated
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Physician Assistant | 363AS0400X | 6817 | CT | Primary |
Addresses
Primary practice location
275 Mount Carmel Ave
Hamden, CT 06518-1961
Mailing address
275 Mount Carmel Ave
Hamden, CT 06518-1961
Phone (603) 520-3403
Other practice location 1
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Other practice location 2
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The William W Backus Hospital | Current | Accepting new patients | |
| William W Backus Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgical | Past | Accepting new patients |
| Hartford Hospital | Past | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- cfusco459407@xdr.hhchealthdirect.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Surgical
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1073000493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MOUNT CARMEL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181961",
"telephone_number": "603-520-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MOUNT CARMEL AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181961",
"telephone_number": "603-520-3403"
}
],
"practiceLocations": [
{
"address_1": "326 Washington St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602740",
"country_code": "US",
"telephone_number": "860-889-8331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Mansfield Ave",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062262045",
"country_code": "US",
"telephone_number": "860-456-9116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSCO",
"first_name": "CASEY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "6817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.