ADAM FUSSARO
NPI 1659836757
Counselor - Addiction (Substance Use Disorder) in Philadelphia, PA

Active since February 04, 2019Opted out of Medicare · through Apr 1, 2028
1200 CALLOWHILL ST, PHILADELPHIA, PA 19123(215) 825-8220 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Fussaro NPPES

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

ADAM FUSSARO (NPI 1659836757) is an individual addiction (substance use disorder) provider in Philadelphia, Pennsylvania and active in the NPI registry since February 2019. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1659836757
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameADAM FUSSARO
Location Address1200 CALLOWHILL STPhiladelphia, PA 19123-3658
Mailing Address1500 Market St., Lm 500 West TowerPhiladelphia, PA 19102 · (215) 731-2406 · Fax (267) 765-2325
Sole ProprietorNo
Enumeration DateFebruary 4, 2019
NPI 1659836757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1200 CALLOWHILL ST, Philadelphia, PA 19123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Adam Fussaro has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Nurse Practitioner (Adult Health)
1200 CALLOWHILL ST, SUITE 101
PHILADELPHIA, PA 19123
Peer Specialist
1200 CALLOWHILL ST
PHILADELPHIA, PA 19123
Social Worker (Clinical)
1200 CALLOWHILL ST, SUITE 101
PHILADELPHIA, PA 19123
Counselor (Addiction (Substance Use Disorder))
1200 CALLOWHILL ST
PHILADELPHIA, PA 19123
Dentist
1200 CALLOWHILL ST
PHILADELPHIA, PA 19123
Peer Specialist
1200 CALLOWHILL ST
PHILADELPHIA, PA 19123
Family Medicine
1200 CALLOWHILL ST, SUITE 101
PHILADELPHIA, PA 19123
Counselor
1200 CALLOWHILL ST, SUITE 104
PHILADELPHIA, PA 19123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Fussaro's NPI number?

The NPI number for Adam Fussaro is 1659836757. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Adam Fussaro located?

Adam Fussaro practices at 1200 Callowhill St, Philadelphia, PA 19123. The listed phone number is (215) 825-8220.

What is Adam Fussaro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Adam Fussaro enrolled in Medicare?

No. Adam Fussaro has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Adam Fussaro was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.