Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Michael Anthony Fusco, PA

Physician Assistant in Fresh Meadows, NY · enumerated 2019 · practices at City Medical of Upper East Side, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417506361

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Registry record

Entity type Individual (Type 1)

Name Michael Anthony Fusco

Credential PA

Sex Male

Practice address Fresh Meadows, NY, 11365

Phone (718) 489-5003

Fax (631) 350-0586

Enumeration date Sep 4, 2019

Last updated in NPPES Feb 27, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110-008610 (VA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 024650 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
06011792	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1417506361 active?

Yes, as of the latest NPPES snapshot, NPI 1417506361 is active (record last updated 2025-02-27).

How do I verify Michael Fusco's NPI record?

Cross-check NPI 1417506361 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Anthony Vecchia Emergency Medicine Physician · Fresh Meadows, NY NPI 1134171457 Daniel Azof Family Medicine Physician · Fresh Meadows, NY NPI 1578896650 City Medical of Upper East Side, Pllc Urgent Care Clinic/Center · Fresh Meadows, NY NPI 1699150789

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-27.