Individual provider Active NPI

Michael Ernest Fusaro, DPM

  • Primary Podiatric Medicine Podiatrist
  • Paterson, NJ
National Provider Identifier
1154407500
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
MD02486 Issued in NJ
Practice address
32 Hine St
Suite 212
Paterson, NJ 07503-2955
Phone
(973) 742-9111
Fax
(973) 742-9017
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X MD02486 NJ Primary

Addresses

Primary practice location

32 Hine St
Suite 212
Paterson, NJ 07503-2955

Mailing address

10 Woodland Ave
Verona, NJ 07044-2813
Phone (973) 857-9656

Other identifiers 4

IdentifierTypeStateIssuer
P1988634OtherNJOXFORD PIN
1110186MedicaidNJ
7773102MedicaidNJ
1K6547OtherNJHELATHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000823 NJ Practitioner - PodiatryPractitioner - Other (Physician) 1759567951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

32 Hine St
Paterson, NJ 07503-2955
Phone (973) 742-9111

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue192
Removal of nail tissue147
Removal or shaving of skin growth28
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Fusaro PA CurrentSince Oct 20, 2010 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 1, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Sep 9, 2019 Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

32 Hine St
Ste 212
Paterson, NJ 07503
Phone (973) 523-5155

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

11 Getty Ave
Paterson, NJ 07503

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHCACA/Endpoint/EHCACA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154407500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442813",
            "telephone_number": "973-857-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 212",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-9111",
            "fax_number": "973-742-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSARO",
        "first_name": "MICHAEL",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD02486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P1988634",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110186",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7773102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HELATHNET",
            "identifier": "1K6547",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.