Individual provider Active NPI

Carmine Joseph Defusco, MD

  • Allergy & Immunology Physician
  • Manalapan, NJ
National Provider Identifier
1942270616
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA35320 Issued in NJ
Practice address
224 Taylor Mills Rd
Suite 106
Manalapan, NJ 07726-3281
Phone
(732) 462-0666
Fax
(732) 462-0992
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA35320 NJ Primary

Addresses

Primary practice location

224 Taylor Mills Rd
Suite 106
Manalapan, NJ 07726-3281

Mailing address

Atrium Medical Arts, Suite 106
224 Taylors Mills Rd
Manalapan, NJ 07726-3281
Phone (732) 462-0666

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000581 NJ Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7315002821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 Taylors Mills Rd
Suite 103
Manalapan, NJ 07726-3281
Phone (732) 462-0666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA35320NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmine J. Defusco, M.D., P.a. Allergy & Immunology CurrentSince May 15, 2008 Accepting new patients
Allergy & Asthma Associates, Inc. PastSince May 15, 2008 Accepting new patients

Locations

224 Taylors Mills Rd
Ste 106
Manalapan, NJ 07726
Phone (732) 462-0666

224 Taylors Mills Rd
Ste 103
Manalapan, NJ 07726
Phone (732) 462-0666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFACBD
  • Direct secure messaging: carmine.defusco.1@11598.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942270616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATRIUM MEDICAL ARTS, SUITE 106",
            "address_2": "224 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-462-0666",
            "fax_number": "732-462-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAYLOR MILLS RD",
            "address_2": "SUITE 106",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263281",
            "telephone_number": "732-462-0666",
            "fax_number": "732-462-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFUSCO",
        "first_name": "CARMINE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA35320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.