Healthcare Provider Details

I. General information

NPI: 1720030679
Provider Name (Legal Business Name): STEVEN ARTHUR SCHUSS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 CEDAR LN
TEANECK NJ
07666-4301
US

IV. Provider business mailing address

110 CHERRY LN
TEANECK NJ
07666-4653
US

V. Phone/Fax

Practice location:
  • Phone: 201-836-7171
  • Fax: 201-928-4227
Mailing address:
  • Phone: 201-836-7171
  • Fax: 201-928-4227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA049515
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: