Paul a. Lusman, M.D.P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

096648 Issued in NY

Legal business name

PAUL A. LUSMAN, M.D.P.C.

Practice address

120 N Country Rd
Port Jefferson, NY 11777-2604

Phone

(631) 928-4990

Fax

(631) 928-4992

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Alan LusmanNPI 1962400176

Title

President

Phone

(631) 928-4990

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Alan Lusman, M.D.

  • Allergy & Immunology Physician
  • Port Jefferson, NY
  • NPI 1962400176
  Authorized official Same address or phone

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871598318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772604",
            "telephone_number": "631-928-4990",
            "fax_number": "631-928-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772604",
            "telephone_number": "631-928-4990",
            "fax_number": "631-928-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. LUSMAN, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUSMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-4990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "096648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00393366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palakkumar B Patel, PA -C
• Raj Patel
• Saurabh Patel, M.D.
• Irene Diana Patrylo, M.D.
• Marlene Carolina Patti, LMSW
• Marianne Pedrazzi
• Salvatore Pennetti, LCSW-R
• People Talk, Inc
• Agnes Percoco
• Kevin Pereira, MD

• Specialist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.