Rocco Russo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

259143 Issued in NY

Practice address

127 Main St
Highland Falls, NY 10928-4019

Phone

(845) 446-4076

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health and Wellness Center of Greater Torrington Inc

  • Primary Care Clinic/Center
  • Torrington, CT
  • NPI 1356318091
  Medicare reassignment NPD
• Community Health and Wellness Center of Greater Torrington Inc

  • Federally Qualified Health Center (FQHC)
  • Winsted, CT
  • NPI 1902757149
  NPD
• Eastern New York Medical Services PC

  • Internal Medicine Physician
  • Brewster, NY
  • NPI 1831437599
  NPD (past)
• Community Health & Wellness Center of Greater Torrington

  • Federally Qualified Health Center (FQHC)
  • Torrington, CT
  • NPI 1245521970
  NPD (past)
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1174664858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W STE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181370",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109284019",
            "telephone_number": "845-446-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ROCCO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "035913",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010035913CT",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03421327",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174664858",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V9661",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillipscare LLC
• Robin Jean Portelli, MD
• Ash Puttaswamy, PSY.D.
• Rite Aid of New York Inc (Rite Aid Pharmacy 02784)
• Philip Ross, RN
• Karen Schocher
• Sahil Shah
• Susan Marie Slapp, R.N.
• Somebody Cares Ny Inc. (Right at Home Highlands)
• Spring Lake PT PC

• Family Medicine Physician in Highland Falls, NY
• Providers in Highland Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.