Active NPI
Filomena Theresa Russo, EDUCATOR
- Specialist
- Huntington, NY
National Provider Identifier
1114636255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 7 High St Ste 201
Huntington, NY 11743-3417 - Phone
- (631) 423-7700
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
7 High St Ste 201
Huntington, NY 11743-3417
Mailing address
146 Greenmeadow Dr
Deer Park, NY 11729-5623
Phone (516) 658-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660315512 | Other | NY | NYS DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1114636255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 GREENMEADOW DR",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295623",
"telephone_number": "516-658-3420",
"fax_number": "631-522-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HIGH ST STE 201",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433417",
"telephone_number": "631-423-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "FILOMENA",
"middle_name": "THERESA",
"credential": "EDUCATOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS DRIVERS LICENSE",
"identifier": "660315512",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.