Russell Karp MD Functional Medicine PLLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

188874-1 Issued in NY

Legal business name

RUSSELL KARP MD FUNCTIONAL MEDICINE PLLC

Practice address

23 Croft Rd
Poughkeepsie, NY 12603-4917

Phone

(845) 797-0272

NPI assigned

Nov 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell Karp, MD

Title

Owner/Physician

Phone

(845) 797-0272

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1033622857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROFT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034917",
            "telephone_number": "845-797-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROFT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034917",
            "telephone_number": "845-797-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL KARP MD FUNCTIONAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "KARP",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "845-797-0272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "188874-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olusola Olubanke Runsewe, DDS REGISTERED PHARM
• Emily Lynn Rupert
• Michelle Rusakowicz, MASTERS
• Jamie Rusek
• Angelie Rushano, FNP-BC
• Nils A Russell, MD
• Jonathan Rust, PH.D.
• Michael Ryan Rutter, M.D.
• Bernadette M Ryan, N.P.
• Jaime Ryan

• Preventive Medicine/Occupational Environmental Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.