Organization Active NPI

Tusse Behavioral Wellness LLC

  • Occupational Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1992680292
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
Legal business name
TUSSE BEHAVIORAL WELLNESS LLC
Practice address
228 Park Ave S
New York, NY 10003-1502
Phone
(516) 515-1729
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Erewarifagha M HaidomeNPI 1114301728
Title
Owner
Phone
(347) 281-0304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0106X Primary

Addresses

Primary practice location

228 Park Ave S
New York, NY 10003-1502

Mailing address

3963 Murdock Ave
Bronx, NY 10466-2442
Phone (516) 515-1729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1992680292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 MURDOCK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662442",
            "telephone_number": "516-515-1729",
            "fax_number": "347-682-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "516-515-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSSE BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "HAIDOME",
        "authorized_official_first_name": "EREWARIFAGHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-281-0304"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.