Paul P Cusano MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA02763800 Issued in NJ

Legal business name

PAUL P CUSANO MD PA

Practice address

925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724

Phone

(973) 471-5256

Fax

(973) 471-5157

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul P Cusano, MDNPI 1710924048

Title

Owner

Phone

(973) 471-5256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 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 P Cusano, MD

  • Psychiatry Physician
  • Clifton, NJ
  • NPI 1710924048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1972871366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-471-5256",
            "fax_number": "973-471-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-471-5256",
            "fax_number": "973-471-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL P CUSANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "CUSANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-471-5256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA02763800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Care New Jersey, Inc. (Patient Care)
• Michele Patti, LPC, SAC
• Salvatore Patti III, D.C.
• Salvatore Patti, D.C.
• Paul C Krisa, M.D, PA
• Yasmine Paulino, M.A., BCBA
• Magdalena Joanna Pawlik, APN
• Jacqueline Paz, DC
• Peace and Wellness Center LLC
• Nyota Afi Peace, M.D.

• Psychiatry Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.