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Manuel Antonio Patusco

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

10 Plum St Fl 8, New Brunswick, NJ 08901-2066

PECOS Enrollment

This provider is enrolled in PECOS as MANUEL PATUSCO.

Based on the most recent information from CMS, provider Manuel Antonio Patusco is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215245204
Provider Type
Individual
Full Name
Patusco, Manuel Antonio
Title
Mr.
Credential
APN

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/23/2010
Last Updated
4/2/2021

Contact Information

Practice Location

10 Plum St Fl 8, New Brunswick, NJ 08901-2066

(732) 235-5530

Unlisted Fax

Mailing Location

10 Plum St 8 Th Floor, New Brunswick, NJ 08901-2065

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ00303800 New Jersey

Manuel Antonio Patusco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bruno, Jacquelyn M

Gabel, Alissa

D'Onofrio, Kerri

Sanchez, Jessica

Billemeyer, Nicole

Bosworth, Linda

Hardie, Crystal

Gooden, Shenelle K

Lynn, Joan

Pathak, Vaibhavee