MEDICARE: BRIAN USTER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	794996	NY
2	163W00000X	Registered Nurse	26NR24776600	NJ
3	163W00000X	Registered Nurse	794996	NY

General Provider Information

NPI Number	:	1154213361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN USTER RN

Provider Business Mailing Address
First Line	:	13 SALEM LN
Second Line	:
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-2712
Country	:	US
Telephone Number	:	516-474-1890
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 BERGEN ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07107-3001
Country	:	US
Telephone Number	:	973-972-4307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	03/12/2026

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Directions to “ BRIAN USTER RN” Practice Location

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