Active NPIIndividual provider

Kenneth T Defusco, MD

Internal Medicine, Pulmonary Disease in Livingston, New Jersey

NPI Number1790779148
Practice location
2 W Northfield RD, Livingston, NJ 07039-3789
Fax
973-994-2387
Last updated
October 4, 2010

Kenneth T Defusco is an Internal Medicine, Pulmonary Disease based in Livingston, NJ. Kenneth T Defusco practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Kenneth T Defusco is 1790779148 and holds a License No. MA23958 (NJ). The current practice location address for Kenneth T Defusco is 2 W Northfield RD, Livingston, NJ 07039-3789 and can be reached out via phone at 973-994-1544 and via fax at 973-994-2387.

Provider Profile Details

NPI Number
1790779148
Provider Name
Kenneth T Defusco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 W Northfield RD, Livingston, NJ 07039-3789
Phone Number
973-994-1544
Fax Number
973-994-2387
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2005
Last Update Date
October 4, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 W Northfield RD
Livingston, NJ 07039-3789
Zip
07039-3789
Phone Number
973-994-1544
Fax Number
973-994-2387
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
2 W Northfield RD
Livingston, NJ 07039-3789
City
Livingston
State
NJ
Zip
07039-3789
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, MD?

The NPI number of Kenneth T Defusco, MD is 1790779148. It was assigned on August 31, 2005 and is currently active in the NPPES registry.

What is the specialty of Kenneth T Defusco, MD?

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

Where does Kenneth T Defusco, MD practice?

The practice location is 2 W Northfield RD, Livingston, NJ 07039-3789. 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 1790779148 directly on the NPPES registry website.

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