JOSEPH JOHN MCCUSKER JR.
NPI 1629718580
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Joseph Mccusker's NPI number?

The NPI number for Joseph Mccusker is 1629718580. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Joseph Mccusker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Mccusker was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2022PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-8445 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Joseph John Mccusker Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH JOHN MCCUSKER JR. (NPI 1629718580) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629718580

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSEPH JOHN MCCUSKER JR.

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-8445

Phone(313) 916-8445

Sole ProprietorNo

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1629718580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph John Mccusker Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital