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

Michael Anthony Fusco, PA

Individual provider Physician Assistant · NPI 1417506361

Michael Anthony Fusco, PA is a Physician Assistant in Fresh Meadows, New York. Graduated from Hofstra North Shore - Lij School of Medicine in 2019, 7 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Virginia.

Years since qualifying
7
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
NY, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6118 188th St
Fresh Meadows, NY 11365-2713
Phone: (718) 489-5003
Fax: (631) 350-0586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1979 Marcus Ave Ste 209, New Hyde Park, NY 11042-1126 — (631) 697-2329

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024650 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0110-008610 (VA)

Record details

NPI number1417506361
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare

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