Active NPI
Frank M Cerasuolo
- Psychiatry Physician
- Staten Island, NY
National Provider Identifier
1992907620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 156020
- Practice address
- 308 Seaview Ave
Staten Island, NY 10305-2246 - Phone
- (718) 351-1717
- Fax
- (718) 667-8893
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 156020 | NY | Primary |
Addresses
Primary practice location
308 Seaview Ave
Staten Island, NY 10305-2246
Mailing address
308 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 351-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156020 | Medicaid | NY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staten Island Medical & Behavioral PC | Psychiatry | Current | Accepting new patients |
| Richmond Psychological Services, P.C. | Past | Accepting new patients | |
| Clinical Management Consultants | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Staten Island, NY
- NPI 1942799366
Psychiatry
-
- Psychologist
- Staten Island, NY
- NPI 1497802144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1992907620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052246",
"telephone_number": "718-351-1717",
"fax_number": "718-667-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052246",
"telephone_number": "718-351-1717",
"fax_number": "718-667-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERASUOLO",
"first_name": "FRANK",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "156020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156020",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.