Kenneth T. Defusco M.D. PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA23958 Issued in NJ

Legal business name

KENNETH T. DEFUSCO M.D. PA

Practice address

2 W Northfield Road
Suite 206
Livingston, NJ 07936

Phone

(973) 994-1544

Fax

(973) 994-2387

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth T. Defusco, MD

Title

Owner

Phone

(973) 994-1544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1215245154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD ROAD",
            "address_2": "SUITE 206",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-994-1544",
            "fax_number": "973-994-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD ROAD",
            "address_2": "SUITE 206",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-994-1544",
            "fax_number": "973-994-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH T. DEFUSCO M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "DEFUSCO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-994-1544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA23958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.