Organization Active NPI

Michael E Fusaro PA

  • Podiatrist
  • Paterson, NJ
National Provider Identifier
1588974943
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL E FUSARO PA
Practice address
32 Hine St
Suite 212
Paterson, NJ 07503-2955
Phone
(973) 742-9111
Fax
(973) 742-9017
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Michael Fusaro, DPMNPI 1154407500
Title
President
Phone
(973) 742-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Podiatrist 213E00000X Primary

Addresses

Primary practice location

32 Hine St
Suite 212
Paterson, NJ 07503-2955

Mailing address

32 Hine St
Suite 212
Paterson, NJ 07503-2955
Phone (973) 742-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000782 NJ Part B Supplier - Clinic/Group Practice 0840476040 Receives reassigned benefits from 1 practitioner
Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1588974943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 212",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-9111",
            "fax_number": "973-742-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "address_2": "SUITE 212",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-742-9111",
            "fax_number": "973-742-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E FUSARO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "FUSARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-742-9111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.