Healthcare Provider Details

I. General information

NPI: 1952982498
Provider Name (Legal Business Name): GEOFFREY W NASUTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 HANOVER RD STE 290
FLORHAM PARK NJ
07932-1520
US

IV. Provider business mailing address

1215 LEE ST # 800133
CHARLOTTESVILLE VA
22908-0816
US

V. Phone/Fax

Practice location:
  • Phone: 973-736-2212
  • Fax: 973-736-2989
Mailing address:
  • Phone: 434-924-1984
  • Fax: 434-244-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA13159800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: