Individual provider Active NPI

Ronald L Viscuso, M.D.

  • Specialist
  • Florham Park, NJ
National Provider Identifier
1467553172
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA02403300 Issued in NJ
Practice address
83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520
Phone
(973) 736-2212
Fax
(973) 736-2989
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA02403300 NJ Primary

Addresses

Primary practice location

83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520

Mailing address

83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Other identifiers 1

IdentifierTypeStateIssuer
1121901MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nna of Harrison, L.L.C. PastSince Apr 1, 2004 Accepting new patients
LSC Pharmacy Services, Inc. PastSince Aug 2, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronaldviscuso@nephassoc.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1467553172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER ROAD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER ROAD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCUSO",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02403300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.