Look up the most recent NPI and PECOS records

Nicole Joann Cusumano

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE CUSUMANO.

Based on the most recent information from CMS, provider Nicole Joann Cusumano 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 5 days ago.

Profile Details

Provider ID
1467073635
Provider Type
Individual
Full Name
Cusumano, Nicole Joann
Gender
Female

Sole Proprietor
No
Enumeration Date
4/29/2020
Last Updated
4/29/2020

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

147 Carlyle Grn, Staten Island, NY 10312-1719

(646) 784-0120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Nicole Joann Cusumano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Youssef, Olivia Mary

Roytman, Petr

Frasca, Francesca Marie

Chopra, Raji

Sher, Maykl

Crispi, Victoria

Tomasini, Gabriella

Yeung, Tszman

Lipnitskiy, Mona Trinette

Becker, Jennifer Mary