Russinoff Concierge PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RUSSINOFF CONCIERGE PA

Practice address

1411 N Flagler Dr Ste 6200
West Palm Beach, FL 33401-3416

Phone

(561) 820-8580

Fax

(561) 820-8581

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Ian Russinoff, MDNPI 1477548295

Title

Owner

Phone

(917) 692-4892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Ian Russinoff, MD

  • Emergency Medicine Physician
  • West Palm Beach, FL
  • NPI 1477548295
  Medicare reassignment NPD Authorized official
• Garrett Logan Gaillard, DNP, FNP-C, ENP-C

  • Family Nurse Practitioner
  • Providence, RI
  • NPI 1952899510

  FL

  Medicare reassignment NPD
• Gabriela Goldstein, M.D., P.A.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1447337944
  NPD
• Andrea S. Kradman, APN

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1992032254
  NPD

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1285478784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013416",
            "telephone_number": "561-820-8580",
            "fax_number": "561-820-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 6200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013416",
            "telephone_number": "561-820-8580",
            "fax_number": "561-820-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSINOFF CONCIERGE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "RUSSINOFF",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-692-4892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Rusher, LCSW
• Dea Marie Rushing, PA-C
• Raynisha Rushton
• Benaaz Russell, PSY.D.
• Carol Ann Russell, CPHT
• Ian Russinoff, MD
• Nicholas Rust, DPT
• Diane Rutenberg, LCSW
• Mark D Rutherford, MSW, LCSW
• RX for Health

• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.