Individual provider Active NPI

Richard A Rusconi, RN, APN

  • Nurse Practitioner
  • Little Falls, NJ
National Provider Identifier
1639391543
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN08865000 Issued in NJ
Practice address
275 Paterson Ave
1St Floor
Little Falls, NJ 07424-5627
Phone
(973) 785-3334
Fax
(973) 785-7760
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN08865000 NJ Primary
Nurse Practitioner 363L00000X 26NO08865000 NJ
Acute Care Nurse Practitioner 363LA2100X 26NN08865000 NJ
Gerontology Nurse Practitioner 363LG0600X 26NN08865000 NJ

Addresses

Primary practice location

275 Paterson Ave
1St Floor
Little Falls, NJ 07424-5627

Mailing address

275 Paterson Ave
1St Floor
Little Falls, NJ 07424-5627
Phone (973) 785-3334

Other identifiers 1

IdentifierTypeStateIssuer
0221791MedicaidNJ

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO08865000NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1639391543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PATERSON AVE",
            "address_2": "1ST FLOOR",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074245627",
            "telephone_number": "973-785-3334",
            "fax_number": "973-785-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PATERSON AVE",
            "address_2": "1ST FLOOR",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074245627",
            "telephone_number": "973-785-3334",
            "fax_number": "973-785-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCONI",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN08865000",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO08865000",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NN08865000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NN08865000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221791",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.