Organization Active NPI

Konstadt and Russo Dermatology PLLC

  • Dermatology Physician
  • Scarsdale, NY
National Provider Identifier
1043224488
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KONSTADT AND RUSSO DERMATOLOGY PLLC
Practice address
700 Post Rd
Scarsdale, NY 10583-5063
Phone
(914) 725-3700
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Marian A Russo, M.D.
Title
Partner
Phone
(914) 725-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

700 Post Rd
Scarsdale, NY 10583-5063

Mailing address

700 Post Rd
Scarsdale, NY 10583-5063
Phone (914) 725-3700

National Provider Directory

National Provider Directory

Locations

700 White Plains Rd
Ste 30
Scarsdale, NY 10583
Phone (914) 725-0045

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1043224488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 POST RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-725-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 POST RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-725-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONSTADT AND RUSSO DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-725-3700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.