DR. DJOHAN KUSNAN MD NPI 1881691525

NPI Information

NPI: 1881691525
Provider Name: DR. DJOHAN KUSNAN, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
703 MAIN ST
PATERSON, NJ
ZIP 07503
Phone: (973) 754-2323
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DR. Djohan Kusnan, MD is a specialist in Paterson, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Djohan Kusnan, MD NPI is 1881691525. 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:

703 MAIN ST
PATERSON, NJ
ZIP 07503-621
Phone: (973) 754-2323
Fax: (973) 977-9455

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/8/2007.

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	174400000X	Specialist		MA26839	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	459729	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	C56142	MEDICARE UPIN	NEW JERSEY
3	1390902	MEDICAID	NEW JERSEY

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: 5/5/2024

NPI Synchronization or Removal

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