Amy Rose Cusack, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Point Pleasant Boro, NJ
NPI 1336767359 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1336767359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ01041000 (NJ)
- Practice address
- 3201 Bridge Ave
Point Pleasant Boro, NJ 08742-3468 - Phone
- (732) 444-1103
- Fax
- (848) 241-3167
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakewood Resource and Referral Center Inc
Minuteclinic Diagnostic of New Jersey LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824003074 | NJ | Practitioner - Nurse Practitioner | 5890112734 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01041000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center, Inc. | Current |
Accepting new patients | |
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| Minuteclinic Primary Care New Jersey LLC | Family | Current |
Accepting new patients |
| Lakewood Resource and Referral Center, Inc. | Current |
Accepting new patients | |
| Appling Podiatry, PLLC | Current | Accepting new patients | |
| RHL Integrative Medicine | Current | Accepting new patients | |
| Revive Health and Wellness LLC | Past |
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
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
Interoperability endpoints
- amy.cusack@593314999828484.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01041000 | NJ | Yes |
Addresses
Primary practice location
3201 Bridge Ave
Point Pleasant Boro, NJ 08742-3468
Mailing address
3201 Bridge Ave
Point Pleasant Boro, NJ 08742-3468
Phone (732) 444-1103
Other practice location 1
4 Ryan Rd
Marlboro, NJ 07746-2445
Phone (866) 389-2727
Other providers in Point Pleasant Boro, NJ
- Christine Costello
- Creative Solutions Counseling, LLC
- Robert Crystal
- CTD Pharmacy LLC
- Kelsey Culley
- David Guzik, D O P C
- Laura Davis
- DDM Creations LLC
- Kathryn Deane-Greeley
- Debra a. Blair,R.D., C.D.E., LLC
All providers in Point Pleasant Boro, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.