Active NPIIndividual provider

Dr. Alexey Tatusov, MD

Nuclear Medicine, Nuclear Cardiology in Eatontown, New Jersey

NPI Number1679836761
Practice location
11 Meridian RD, Eatontown, NJ 07724-2242
Fax
732-663-0301
Last updated
August 23, 2021

Alexey Tatusov is a Nuclear Medicine, Nuclear Cardiology based in Eatontown, NJ. Alexey Tatusov practices in Eatontown, NJ and has the professional credentials of MD. The NPI Number for Alexey Tatusov is 1679836761 and holds a License No. MD453232 (PA). The current practice location address for Alexey Tatusov is 11 Meridian RD, Eatontown, NJ 07724-2242 and can be reached out via phone at 732-663-0300 and via fax at 732-663-0301.

Provider Profile Details

NPI Number
1679836761
Provider Name
Alexey Tatusov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Meridian RD, Eatontown, NJ 07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301
Primary Taxonomy
Nuclear Medicine, Nuclear Cardiology · 207UN0901X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2012
Last Update Date
August 23, 2021
Certification Date
August 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Meridian RD
Eatontown, NJ 07724-2242
Zip
07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
11 Meridian RD
Eatontown, NJ 07724-2242
City
Eatontown
State
NJ
Zip
07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301

License Information

License Number (1)
MD453232
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
287819
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
25MA11103200
License State (3)
NJ
Taxonomy (3)
Nuclear Medicine, Nuclear Cardiology · 207UN0901X · 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 Dr. Alexey Tatusov, MD?

The NPI number of Dr. Alexey Tatusov, MD is 1679836761. It was assigned on June 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexey Tatusov, MD?

Dr. Alexey Tatusov, MD is registered under the primary taxonomy Nuclear Medicine, Nuclear Cardiology (code 207UN0901X), licensed in PA under license number MD453232.

Where does Dr. Alexey Tatusov, MD practice?

The practice location is 11 Meridian RD, Eatontown, NJ 07724-2242. The office can be reached at 732-663-0300 (phone) or 732-663-0301 (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 1679836761 directly on the NPPES registry website.

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