Nicholas Edward Fusco, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-10044 Issued in NC

Practice address

391 George W Liles Pkwy NW
Concord, NC 28027-8218

Phone

(704) 886-1780

Fax

(704) 918-4505

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

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.

• Masland Associates Inc

  • Internal Medicine Physician
  • Carlisle, PA
  • NPI 1639190978
  NPD
• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413
  NPD (past)
• Orthopaedic Associates of Allentown

  • Orthopaedic Surgery Physician
  • Allentown, PA
  • NPI 1801888987
  NPD (past)
• Sacred Heart Healthcare System

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1053373548
  NPD (past)
• Sacred Heart Healthcare System

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1376533281
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1477551620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 GEORGE W LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278218",
            "telephone_number": "704-886-1780",
            "fax_number": "704-918-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 GEORGE W LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278218",
            "telephone_number": "704-886-1780",
            "fax_number": "704-918-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002789L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA002789L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Stump Fulper, M.A, LCMHC
• Aris Noelle Fulton, M.A. CCC-SLP
• Gabriella Fulwood
• Larry M Furr, MAC, NCC, LPC
• Wanda A Fuschino, NP
• G-5 Enterprises Inc
• G. Abrams and R. Cohen Xviii, P.C.
• Mark R Gabrych, AU.D.
• Deiaa El Deen M Gad, R.PH
• Sumana Gadde, MD

• Medical Physician Assistant in Concord, NC
• Providers in Concord, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.