Provider Demographics
NPI:1780775551
Name:ASCUITTO, ROBERT JOSEPH (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:ASCUITTO
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-899-9511
Mailing Address - Fax:504-988-8886
Practice Address - Street 1:200 HENRY CLAY AVE.
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-899-9511
Practice Address - Fax:504-899-2772
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07650R2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1375322Medicaid
MS00117336Medicaid
LA1375322Medicaid
LA54275Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
LAB65164Medicare UPIN