Active NPIOrganization

Kenneth T. Defusco M.d. PA

Internal Medicine, Pulmonary Disease in Livingston, New Jersey

NPI Number1215245154
Practice location
2 W Northfield Road, Suite 206, Livingston, NJ 07936
Fax
973-994-2387
Last updated
September 14, 2010

Kenneth T. Defusco M.d. PA is a healthcare organization based in Livingston, NJ. Kenneth T. Defusco M.d. PA practices in Livingston, NJ. The NPI Number for Kenneth T. Defusco M.d. PA is 1215245154 and holds a License No. MA23958 (NJ). The current practice location address for Kenneth T. Defusco M.d. PA is 2 W Northfield Road, Suite 206, Livingston, NJ 07936 and can be reached out via phone at 973-994-1544 and via fax at 973-994-2387.

Provider Profile Details

NPI Number
1215245154
Provider Name
Kenneth T. Defusco M.d. PA
Provider Entity Type
Organization
Address
2 W Northfield Road, Suite 206, Livingston, NJ 07936
Phone Number
973-994-1544
Fax Number
973-994-2387
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Organization Subpart
No
Authorized Official
Dr. Kenneth T. Defusco, MD · Owner · 973-994-1544
Provider Enumeration Date
September 14, 2010
Last Update Date
September 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 W Northfield Road
Suite 206
Livingston, NJ 07936
Zip
07936
Phone Number
973-994-1544
Fax Number
973-994-2387
Livingston, NJ 07936Get directions →

Provider Business Mailing Address Details

Address
2 W Northfield Road
Suite 206
Livingston, NJ 07936
City
Livingston
State
NJ
Zip
07936
Phone Number
973-994-1544
Fax Number
973-994-2387

License Information

License Number
MA23958
License State
NJ
Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth T. Defusco M.d. PA?

The NPI number of Kenneth T. Defusco M.d. PA is 1215245154. It was assigned on September 14, 2010 and is currently active in the NPPES registry.

What is the specialty of Kenneth T. Defusco M.d. PA?

Kenneth T. Defusco M.d. PA is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NJ under license number MA23958.

Where does Kenneth T. Defusco M.d. PA practice?

The practice location is 2 W Northfield Road, Suite 206, Livingston, NJ 07936. The office can be reached at 973-994-1544 (phone) or 973-994-2387 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215245154 directly on the NPPES registry website.

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