Provider Demographics
NPI:1811975840
Name:CUASAY, RAMON SERRANO (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:SERRANO
Last Name:CUASAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8020
Mailing Address - Country:US
Mailing Address - Phone:732-341-8683
Mailing Address - Fax:732-286-1901
Practice Address - Street 1:517 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8020
Practice Address - Country:US
Practice Address - Phone:732-341-8683
Practice Address - Fax:732-286-1901
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02772700208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
0041643000OtherAMERIHEALTH
1040292OtherHORIZON MERCY
36366OtherUSHC
P2498209OtherOXFORD
22527OtherAMERIGROUP
1040292OtherHORIZON MERCY
CU117998Medicare ID - Type Unspecified