Kenneth T Defusco, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA23958 Issued in NJ

Practice address

2 W Northfield Rd
Livingston, NJ 07039-3789

Phone

(973) 994-1544

Fax

(973) 994-2387

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1790779148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-994-1544",
            "fax_number": "973-994-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-994-1544",
            "fax_number": "973-994-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFUSCO",
        "first_name": "KENNETH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA23958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Gail De Pol, M.A.. ED.S., LFMT
• Dana Deoliveira Debari, PA-C
• Sebastian Debek
• Marvalyn Elizabeth Decambre, M.D. MPH, FAAP
• Edward B Decker, M.D.
• Naica Dejean
• John J Della Penna, LPC
• Danielle Demarco
• Irena Lisa Demario, D.O.
• Alan Dembner, M.D.

• Pulmonary Disease Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.