OrganizationActive
Direct Interventional Access, LLC
NPI 1417900093 · Vascular & Interventional Radiology Physician · East Orange, NJ
Provider details
- NPI number
- 1417900093
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tom Fusco, Manager(973) 677-1027
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 S Grove St
East Orange, NJ 07018-4102
Phone: (973) 677-1027
Street-level locationGet directions
Mailing address
110 S Grove St
East Orange, NJ 07018-4102
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.