Donald G. Russ, P.T., D.P.T., P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

009519 Issued in NY

Legal business name

DONALD G. RUSS, P.T., D.P.T., P.C.

Practice address

3413 Oceanside Rd
Oceanside, NY 11572-5520

Phone

(516) 764-4462

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Gerard Russ, P.T., D.P.T.

Title

President,Owner,Clinician

Phone

(516) 764-4462

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174731707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 OCEANSIDE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725520",
            "telephone_number": "516-764-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 OCEANSIDE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725520",
            "telephone_number": "516-764-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD G. RUSS, P.T., D.P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT,OWNER,CLINICIAN",
        "authorized_official_telephone_number": "516-764-4462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "009519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET(ORTHONET)",
            "identifier": "0022801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (ORTHONET)",
            "identifier": "22801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6602097",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P678168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "Q01611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE EMPIRE PLAN",
            "identifier": "817979",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PPO",
            "identifier": "5C7334",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P38307316",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "100054174601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USFAMILYHEALTH",
            "identifier": "22801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penina Yehudit Dienstag, M.D.
• Nickole Difilippi
• Thomas V. Difusco, D.C.
• Amy Elizabeth Digiovanni
• Marisa Dimartino, LMHC
• Jason Marc Donin, PT, DPT
• Kristen Ann Dougherty
• Dr Asher Diamond DDS PLLC
• Dr. Michael J Heiss Dental PLLC
• Steven A. Drexler, M.D.

• Physical Therapy Clinic/Center in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.