Edward H. Cussatti,M.D., P.C.,LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2278601 Issued in NY

Legal business name

EDWARD H. CUSSATTI,M.D., P.C.,LLC

Practice address

754 Montauk Hwy
West Islip, NY 11795-4908

Phone

(631) 422-0909

Fax

(631) 422-6660

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Hugo Cussatti, M.D.

Title

Ceo

Phone

(631) 422-0909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1104094556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 MONTAUK HWY",
            "address_2": "PO BOX 70",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954908",
            "telephone_number": "631-422-0909",
            "fax_number": "631-422-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954908",
            "telephone_number": "631-422-0909",
            "fax_number": "631-422-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H. CUSSATTI,M.D., P.C.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CUSSATTI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-422-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "2278601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.