KENNETH T DEFUSCO MD NPI 1790779148

NPI Information

NPI: 1790779148
Provider Name: KENNETH T DEFUSCO, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2 W NORTHFIELD RD
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 994-1544
Get Directions

Kenneth T Defusco, MD is a pulmonary disease internal medicine in Livingston, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Kenneth T Defusco, MD NPI is 1790779148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 W NORTHFIELD RD
LIVINGSTON, NJ
ZIP 07039-789
Phone: (973) 994-1544
Fax: (973) 994-2387

The NPI 1790779148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	MA23958	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1508407	MEDICAID	NEW JERSEY
2	DE460902	MEDICARE PIN
3	C59770	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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