Carmine J. Defusco, M.D., P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25MA03532000 Issued in NJ

Legal business name

CARMINE J. DEFUSCO, M.D., P.A.

Practice address

224 Taylors Mills Rd
106
Manalapan, NJ 07726-3281

Phone

(732) 462-0666

Fax

(732) 462-0992

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carmine Joseph Defusco, M.D.NPI 1942270616

Title

President

Phone

(732) 462-0666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmine Joseph Defusco, MD

  • Allergy & Immunology Physician
  • Manalapan, NJ
  • NPI 1942270616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1104073584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TAYLORS MILLS RD",
            "address_2": "106",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-462-0666",
            "fax_number": "732-462-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAYLORS MILLS RD",
            "address_2": "106",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-462-0666",
            "fax_number": "732-462-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMINE J. DEFUSCO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "DEFUSCO",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-462-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA03532000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Campbell, LMFT
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• Haley Carol Caporrino, MSW, LSW, RBT
• Amelia Marjorie Carlson
• Danna Lynn Carlton
• Kiera Carmody
• Brittany Carnesi, LSW
• Carton Seniors LLC
• Caryn Wesley Occupational Therapist of New Jersey, PC
• Corinne Janet Casey

• Allergy & Immunology Physician in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.