Stephen Paul Cusumano, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME-149893 Issued in FL

Practice address

6010 SW Bald Eagle Drive
Palm City, FL 34990

Phone

(516) 236-8357

Fax

(516) 735-6121

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Shore Long Island Jewish Healthcare

  • Cardiovascular Disease Physician
  • Westbury, NY
  • NPI 1215019500

  Internal Medicine

  Medicare reassignment NPD
• Mid Island Primary Medical Care PC

  • Family Medicine Physician
  • Seaford, NY
  • NPI 1033149026
  NPD (past) Authorized official
• North Shore Long Island Jewish Health Care Inc

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912338385
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1699868174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 SW BALD EAGLE DRIVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "516-236-8357",
            "fax_number": "516-735-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 SW BALD EAGLE DRIVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "516-236-8357",
            "fax_number": "516-735-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168113",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-149893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria R Cox
• Amy Crandall, RBT
• Kayla Ann Crawford
• Csi Private Duty Services, Inc
• Hannah Ruth Cullen
• Daley Diagnostics LLC
• Danyelle Daley
• Leon Dwight Daley
• Desiree A Dampier
• Douglas S Davis, RPH

• Internal Medicine Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.