Organization Active NPI

Jungsil K Cusimano MD PC

  • Internal Medicine Physician
  • Binghamton, NY
National Provider Identifier
1851588362
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218013-1 Issued in NY
Legal business name
JUNGSIL K CUSIMANO MD PC
Practice address
68 Oak St
Binghamton, NY 13905-4625
Phone
(607) 238-1041
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Lydia A Vernola
Title
Billing Coordinator
Phone
(607) 584-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 218013-1 NY Primary

Addresses

Primary practice location

68 Oak St
Binghamton, NY 13905-4625

Mailing address

68 Oak St
Binghamton, NY 13905-4625
Phone (607) 238-1041

National Provider Directory

National Provider Directory

Locations

68 Oak St
Binghamton, NY 13905
Phone (607) 238-1041

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1851588362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054625",
            "telephone_number": "607-238-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054625",
            "telephone_number": "607-238-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGSIL K CUSIMANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "VERNOLA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "607-584-4104"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.