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NPISignal

Individual Healthcare Provider

Matthew P. Kusulas, MD

NPI Record: ActivePediatrics — Pediatric Emergency Medicine
NPI1144508300
Greenwich, Connecticut

Provider's NPPES record last updated: April 21, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1144508300
Primary Specialty
Pediatrics — Pediatric Emergency Medicine
Practice Location
Greenwich, Connecticut
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 1:13 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who has special qualifications to manage emergencies in infants and children.

    Taxonomy code 2080P0204X

Provider-Reported License Information

Pediatrics (Connecticut)
80020
Pediatrics (New York)
264265
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5 Perryridge Rd

Greenwich, Connecticut 06830-4608

Phone: (203) 863-3000

Additional Practice Location

26901 76th Ave

New Hyde Park, New York 11040-1433

Phone: (718) 470-4780

Additional Practice Location

267 Grant St

Bridgeport, Connecticut 06610-2870

Phone: (203) 384-3000

Additional Practice Location

35 Park St

New Haven, Connecticut 06519-1110

Phone: (877) 925-3637

Record Information

Enumeration Date
July 21, 2011
Provider's NPPES Record Last Updated
April 21, 2025
Certification Date
April 21, 2025
NPISignal NPPES Dataset
August 2026

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