Diane Russo, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

281 Phelps LN
North Babylon, NY 11703-4005

Phone

(631) 422-7676

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Town of Babylon - Division of Drug and Alcohol Services

  • Community/Behavioral Health Agency
  • North Babylon, NY
  • NPI 1588764401
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205474640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 WALNUT AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 PHELPS LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034005",
            "telephone_number": "631-422-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DIANE",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASAS CASAC",
            "identifier": "0009943",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbartoszak@townofbabylon.com",
            "affiliation": "Y",
            "endpointDescription": "office manager",
            "affiliationName": "Town of Babylon - Division of Drug and Alcohol Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "281 Phelps Ln",
            "city": "North Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117034045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Ann Rosario
• Amy Rose, P.T.
• Haley Isabel Rosenberg, DDS
• Robert Rotunno, PHARM.D
• Marie Elena Rudnicki
• Tamara Viaud Ryjacek
• S. C. Schwartz, D.D.S., PLLC
• Jessica Jacob Sabu, NP, RN
• Jasmine Sainteloi
• Daniel Saldin, PT

• Addiction (Substance Use Disorder) Counselor in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.