Organization Active NPI

Fusi and Craig Plastic Surgery, PA

  • Specialist
  • Guilford, CT
National Provider Identifier
1174996581
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
Q5803 Issued in TX
Legal business name
FUSI AND CRAIG PLASTIC SURGERY, PA
Practice address
5 Durham Rd
Guilford, CT 06437-2076
Phone
(203) 458-4444
Fax
(203) 458-4447
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Stefano Fusi, MDNPI 1336185883
Title
Owner
Phone
(203) 605-0420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Q5803 TX Primary

Addresses

Primary practice location

5 Durham Rd
Guilford, CT 06437-2076

Mailing address

1544 Sawdust Rd
Suite 280
Spring, TX 77380-2929
Phone (281) 292-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000687 CT Part B Supplier - Clinic/Group Practice 6800191271 Receives reassigned benefits from 1 practitioner
Practice locations: Guilford, CT

National Provider Directory

National Provider Directory

Locations

5 Durham Rd
Ste 14
Guilford, CT 06437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1174996581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD",
            "address_2": "SUITE 280",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802929",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-458-4444",
            "fax_number": "203-458-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSI AND CRAIG PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "FUSI",
        "authorized_official_first_name": "STEFANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-605-0420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q5803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.