Active NPI
John J Russo, OD
- Corneal and Contact Management Optometrist
- Plainsboro, NJ
National Provider Identifier
1114983442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OAO 4698
- Practice address
- 10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612 - Phone
- (609) 275-8989
- Fax
- (609) 275-9327
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OAO 4698 | NJ | Primary |
Addresses
Primary practice location
10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612
Mailing address
7 Pannick Dr
Hamilton, NJ 08610-1129
Phone (609) 585-6967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0641930001 | Other | NJ | MEDICARE NSC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2495 Route 1
Suite 8
Lawrenceville, NJ 08648-4099
Phone (609) 882-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OAO 4698 | NJ | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Vision Services, PA | Corneal and Contact Management | Current | Accepting new patients |
| Total Eye Care Centers, PC | Past | Accepting new patients | |
| Mercer Vision Associates | Past | Accepting new patients |
Locations
2495 US Highway 1
Ste 8
Lawrenceville, NJ 08648
Phone (609) 882-2888
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Lawrenceville, NJ
- NPI 1427150564
Corneal and Contact Management
-
- Optometrist
- Lawrence Township, NJ
- NPI 1316800170
-
- Optometrist
- Trenton, NJ
- NPI 1255439519
-
- Eyewear Supplier
- Robbinsville, NJ
- NPI 1174339907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1114983442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PANNICK DR",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086101129",
"telephone_number": "609-585-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SCHALKS CROSSING RD",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085361612",
"telephone_number": "609-275-8989",
"fax_number": "609-275-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "JOHN",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "OAO 4698",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "0641930001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.