Organization Active NPI

Joseph L Russino MD, LLC

  • Obstetrics Physician
  • Malvern, PA
National Provider Identifier
1144775511
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD027472E Issued in PA
Legal business name
JOSEPH L RUSSINO MD, LLC
Practice address
462 E King Rd
Malvern, PA 19355-3267
Phone
(484) 383-8118
Fax
(484) 383-8119
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Joseph L Russino, M.D.
Title
Owner/Physician
Phone
(484) 383-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X MD027472E PA Primary

Addresses

Primary practice location

462 E King Rd
Malvern, PA 19355-3267

Mailing address

462 E King Rd
Malvern, PA 19355-3267
Phone (484) 383-8118

National Provider Directory

National Provider Directory

Locations

462 E King Rd
Malvern, PA 19355
Phone (484) 383-8118

11 Industrial Blvd
Ste 212
Paoli, PA 19301
Phone (484) 383-8118

100 E Lancaster Ave
Ste 317
Wynnewood, PA 19096
Phone (484) 383-8118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14321/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1144775511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 E KING RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553267",
            "telephone_number": "484-383-8118",
            "fax_number": "484-383-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 E KING RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553267",
            "telephone_number": "484-383-8118",
            "fax_number": "484-383-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L RUSSINO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "RUSSINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "484-383-8118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD027472E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.