Eileen M Egan-Russo, L.A.C., L.M.T

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00142400 Issued in NJ

Practice address

348 U.S. 9
Manalapan, NJ 07726

Phone

(732) 894-9200

Fax

(732) 894-9202

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Eileen M. Egan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1073668646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STARVIEW DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442523",
            "telephone_number": "917-846-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 U.S. 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 NJ-31",
            "address_2": "#802",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "08822",
            "country_code": "US",
            "telephone_number": "908-968-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103062336",
            "country_code": "US",
            "telephone_number": "718-351-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN-RUSSO",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.A.C., L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006611-01",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "013178",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00142400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "EGAN",
            "middle_name": "M.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra B. Drucker, PH.D.
• Inna Dubover
• Alan Dubowy
• Megan Duplak, MS OTR/L
• East Coast Foot Care, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Stacey Einziger, LMFT
• Fred R Eisner, PHD

• Acupuncturist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.