Individual provider Active NPI

Amy Rose Cusack, FNP-C

  • Family Nurse Practitioner
  • Point Pleasant Boro, NJ
National Provider Identifier
1336767359
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01041000 Issued in NJ
Practice address
2911 Route 88 Ste 3
Point Pleasant Boro, NJ 08742-2871
Phone
(732) 202-6723
Fax
(732) 202-6712
NPI assigned
Jul 7, 2020
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01041000 NJ Primary

Addresses

Primary practice location

2911 Route 88 Ste 3
Point Pleasant Boro, NJ 08742-2871

Mailing address

2911 Route 88 Ste 3
Point Pleasant Boro, NJ 08742-2871
Phone (732) 202-6723

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824003074 NJ Practitioner - Nurse Practitioner 5890112734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1251

4 Ryan Rd
Marlboro, NJ 07746-2445
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01041000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 20, 2025 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Jan 5, 2026 Accepting new patients
Appling Podiatry, PLLC Current Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 20, 2025 Accepting new patients
RHL Integrative Medicine Current Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

2911 Route 88
Ste 3
Point Pleasant Boro, NJ 08742
Phone (732) 892-2100

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

Interoperability endpoints

  • Direct secure messaging: amy.cusack@593314999828484.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1336767359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ROUTE 88 STE 3",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422871",
            "telephone_number": "732-202-6723",
            "fax_number": "732-202-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROUTE 88 STE 3",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422871",
            "telephone_number": "732-202-6723",
            "fax_number": "732-202-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "AMY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01041000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.