Active NPI
Ronald L Viscuso, M.D.
- Specialist
- Florham Park, NJ
National Provider Identifier
1467553172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA02403300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1121901 | Medicaid | NJ |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nna of Harrison, L.L.C. | Past | Accepting new patients | |
| LSC Pharmacy Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1811299290
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harrison, NJ
- NPI 1033213814
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.