Active NPI
Denise H. Viscuso, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1730228719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP008825
- Practice address
- 833 Chestnut Street Suite 701
Jefferson Internal Medicine Associates
Philadelphia, PA 19107 - Phone
- (215) 955-6180
- Fax
- (215) 955-6410
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP008825 | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street Suite 701
Jefferson Internal Medicine Associates
Philadelphia, PA 19107
Mailing address
615 Chestnut Street 14TH Floor
Jefferson University Physicians
Philadelphia, PA 19106
Phone (215) 955-9628
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730228719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT STREET 14TH FLOOR",
"address_2": "JEFFERSON UNIVERSITY PHYSICIANS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19106",
"telephone_number": "215-955-9628",
"fax_number": "215-955-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET SUITE 701",
"address_2": "JEFFERSON INTERNAL MEDICINE ASSOCIATES",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCUSO",
"first_name": "DENISE",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.