Active NPIIndividual provider

Bryan J Cusack, DO

Pediatrics in Red Bank, New Jersey

NPI Number1700463536
Practice location
272 Broad St, Red Bank, NJ 07701-2044
Fax
732-219-9477
Last updated
August 12, 2026

Bryan Joseph Cusack is a Pediatrics based in Red Bank, NJ. Bryan Joseph Cusack practices in Red Bank, NJ and has the professional credentials of DO. The NPI Number for Bryan Joseph Cusack is 1700463536 and holds a License No. 25MB12424500 (NJ). The current practice location address for Bryan Joseph Cusack is 272 Broad St, Red Bank, NJ 07701-2044 and can be reached out via phone at 732-741-0456 and via fax at 732-219-9477.

Provider Profile Details

NPI Number
1700463536
Provider Name
Bryan Joseph Cusack
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
272 Broad St, Red Bank, NJ 07701-2044
Phone Number
732-741-0456
Fax Number
732-219-9477
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2021
Last Update Date
August 12, 2026
Certification Date
August 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
272 Broad St
Red Bank, NJ 07701-2044
Zip
07701-2044
Phone Number
732-741-0456
Fax Number
732-219-9477
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
272 Broad St
Red Bank, NJ 07701-2044
City
Red Bank
State
NJ
Zip
07701-2044
Phone Number
732-741-0456
Fax Number
732-219-9477

License Information

License Number
25MB12424500
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Bryan J Cusack, DO?

The NPI number of Bryan J Cusack, DO is 1700463536. It was assigned on March 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Bryan J Cusack, DO?

Bryan J Cusack, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MB12424500.

Where does Bryan J Cusack, DO practice?

The practice location is 272 Broad St, Red Bank, NJ 07701-2044. The office can be reached at 732-741-0456 (phone) or 732-219-9477 (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 1700463536 directly on the NPPES registry website.

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