Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie Ann R Cusack, MD

Individual provider Dermatology Physician · NPI 1649238775

Carrie Ann R Cusack, MD is a Dermatology in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 1999, 27 years ago. Practices with Dermatology Associates of South Jersey, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
27
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

219 N Broad St 4th Fl
Philadelphia, PA 19107-1519
Phone: (215) 762-5550
Fax: (215) 762-5570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD422137 (PA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD422137 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA07815500 (NJ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 25MA07815500 (NJ)

Record details

NPI number1649238775
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESAugust 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPATHOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Dermatology Associates Of South Jersey, L.L.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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