Individual provider Active NPI

Thomas Joseph Cusumano, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1710955844
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00002492 Issued in NJ
Practice address
26-06 Broadway
Fair Lawn, NJ 07410-3829
Phone
(201) 794-8200
Fax
(201) 794-8201
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00002492 NJ Primary

Addresses

Primary practice location

26-06 Broadway
Fair Lawn, NJ 07410-3829

Mailing address

26-06 Broadway
Fair Lawn, NJ 07410-3829
Phone (201) 794-8200

Other identifiers 2

IdentifierTypeStateIssuer
8924007MedicaidNJ
156949OtherNJPTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000581 NJ Practitioner - Podiatry 1850359522 Practice locations: Fair Lawn, NJ; Westwood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 -06 Broadway
Fair Lawn, NJ 07410-3829
Phone (201) 794-8200

59 Kinderkamack Rd
Suite a
Westwood, NJ 07675-3616
Phone (201) 666-4166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue165
Removal of skin lesions310
Removal of nail tissue1286
Removal or shaving of skin growth932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00002492NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Cusumano Foot & Ankle Surgery CurrentSince Aug 10, 2009 Accepting new patients

Locations

26-06 Broadway
Fair Lawn, NJ 07410
Phone (201) 794-8200

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.

Hospital & facility affiliations 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1710955844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-06 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103829",
            "telephone_number": "201-794-8200",
            "fax_number": "201-794-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-06 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103829",
            "telephone_number": "201-794-8200",
            "fax_number": "201-794-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00002492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924007",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "156949",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.