Individual provider Active NPI

Roslyn Mary Cusack, RNC NIC

  • Neonatal Intensive Care Registered Nurse
  • Nyc, NY
National Provider Identifier
1457519563
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X
License
263643 Issued in NY
Practice address
525 East 68TH Street
New York Presbyterian Hospital
Nyc, NY 10021
Phone
(212) 746-0318
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 263643 NY
Registered Nurse 163W00000X 078013 CT
Neonatal Intensive Care Registered Nurse 163WN0002X 263643 NY Primary

Addresses

Primary practice location

525 East 68TH Street
New York Presbyterian Hospital
Nyc, NY 10021

Mailing address

525 East 68TH Street
New York Presbyterian Hospital-Cornell Weill Division
Nyc, NY 10021
Phone (212) 746-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
078013CTMDRegistered Nurse
263643NYMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1457519563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL-CORNELL WEILL DIVISION",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "ROSLYN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RNC NIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "263643",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "078013",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "263643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.