Individual provider Active NPI

Paul P Cusano, MD

  • Psychiatry Physician
  • Clifton, NJ
National Provider Identifier
1710924048
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA02763800 Issued in NJ
Practice address
925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724
Phone
(973) 471-5256
Fax
(973) 471-5157
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA02763800 NJ Primary

Addresses

Primary practice location

925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724

Mailing address

925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724
Phone (973) 471-5256

Other identifiers 1

IdentifierTypeStateIssuer
2813807MedicaidNJ

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
I20040525001393 NJ Practitioner - Psychiatry 4981685062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

925 Clifton Ave
Clifton, NJ 07013-2724
Phone (973) 471-5256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02763800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul P Cusano MD PA Psychiatry CurrentSince Jan 1, 1989 Accepting new patients

Locations

925 Clifton Ave
Ste 103
Clifton, NJ 07013
Phone (201) 888-2872

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1710924048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-471-5256",
            "fax_number": "973-471-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-471-5256",
            "fax_number": "973-471-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSANO",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA02763800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.