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DR. CARMINE JOSEPH DEFUSCO MD
NPI 1942270616
Allergy & Immunology in Manalapan, NJ

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
224 TAYLOR MILLS RD, SUITE 106, MANALAPAN, NJ 07726(732) 462-0666(732) 462-0992 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carmine Joseph Defusco Md NPPES

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

DR. CARMINE JOSEPH DEFUSCO MD (NPI 1942270616) is an individual allergy & immunology provider in Manalapan, New Jersey, licensed in New Jersey (MA35320) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1942270616
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. CARMINE JOSEPH DEFUSCOCredential: MD
Location Address224 TAYLOR MILLS RD, SUITE 106Manalapan, NJ 07726-3281
Mailing AddressAtrium Medical Arts, Suite 106, 224 Taylors Mills RdManalapan, NJ 07726-3281 · (732) 462-0666 · Fax (732) 462-0992
Phone(732) 462-0666
Fax(732) 462-0992
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1942270616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NJ · MA35320
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
224 TAYLOR MILLS RD, Manalapan, NJ 07726
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Other Identifiers 2

Medicare ID-Type UnspecifiedDE453762NJ · Medicare #
Medicare UPINC55505NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmine Joseph Defusco Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315002821
PECOS Enrollment IDI20090217000581
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.

Medicare Billing Reassignment

Medicare enrollment records show Carmine Defusco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carmine J. Defusco, M.D., P.A.
Same address
Allergy & Immunology
224 TAYLORS MILLS RD, 106
Manalapan, NJ 07726
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1104073584 (732) 462-0666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,890 services42 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
572 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services81 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%1,374 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%42 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
27%868 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%868 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%868 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%868 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

JOEL M STORM DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
224 TAYLOR MILLS RD
MANALAPAN, NJ 07726
Monmouth County (732) 462-9500
JEFFREY HOCHSTEIN DDS LLC
Dentist (General Practice)
224 TAYLOR MILLS RD
MANALAPAN, NJ 07726
Monmouth County (732) 577-0555
DR. DIANE ROSE M.D.
Psychiatry & Neurology (Psychiatry)
224 TAYLOR MILLS RD, SUITE 104
MANALAPAN, NJ 07726
Monmouth County (732) 409-0128
DR. STEVEN KYLE GOLDMAN D.C.
Chiropractor
224 TAYLOR MILLS RD, SUITE 105A
MANALAPAN, NJ 07726
Monmouth County (732) 577-9600
STEVEN P STERN DMD PA
Clinic/Center (Dental)
224 TAYLOR MILLS RD
MANALAPAN, NJ 07726
Monmouth County (732) 409-0044
DR. STEVEN PAUL STERN DMD
Dentist (Pediatric Dentistry)
224 TAYLOR MILLS RD
MANALAPAN, NJ 07726
Monmouth County (732) 409-0044

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 Carmine Defusco's NPI number?

The NPI number for Carmine Defusco is 1942270616. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Carmine Defusco located?

Carmine Defusco practices at 224 Taylor Mills Rd Suite 106, Manalapan, NJ 07726. The listed phone number is (732) 462-0666.

What is Carmine Defusco's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Carmine Defusco enrolled in Medicare?

Yes. Carmine Defusco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carmine Defusco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmine Defusco reassigns Medicare benefits to Carmine J. Defusco, M.D., P.A. (Manalapan, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmine Defusco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmine Defusco accept?

Health plans from Oscar Health list Carmine Defusco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmine Defusco was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.