Individual provider Active NPI

Susan Cusmano

  • Registered Nurse
  • Oakdale, NY
National Provider Identifier
1992006829
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
623488 Issued in NY
Practice address
32 Biltmore Ave
Oakdale, NY 11769-1102
Phone
(516) 582-5498
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
623488NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 623488 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

32 Biltmore Ave
Oakdale, NY 11769-1102

Mailing address

32 Biltmore Ave. Ext.
Oakdale, NY 11769
Phone (516) 582-5498

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2010.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1992006829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BILTMORE AVE. EXT.",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "11769",
            "telephone_number": "516-582-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BILTMORE AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691102",
            "telephone_number": "516-582-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSMANO",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "623488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.