Individual provider Active NPI

William Tatsuo Kasumi, M.D.

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1649342627
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06876200 Issued in NJ
Practice address
401 Hackensack Ave
FL 5
Hackensack, NJ 07601-6406
Phone
(201) 678-1900
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210028 NY
Internal Medicine Physician 207R00000X 25MA06876200 NJ Primary

Addresses

Primary practice location

401 Hackensack Ave
FL 5
Hackensack, NJ 07601-6406

Mailing address

401 Hackensack Ave
FL 5
Hackensack, NJ 07601-6406

Other names 1

  • Dr. Tatsuo Kasumi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000280 NJ Practitioner - Internal MedicinePractitioner - Family Practice 7719919679 Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Hackensack Ave
FL 5
Hackensack, NJ 07601-6406
Phone (201) 314-1634

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06876200NJMDInternal Medicine Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558742400000",
    "number": "1649342627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE",
            "address_2": "FL 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE",
            "address_2": "FL 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016406",
            "telephone_number": "201-678-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUMI",
        "first_name": "WILLIAM",
        "middle_name": "TATSUO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210028",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06876200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATSUO",
            "last_name": "KASUMI",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.