Individual provider Active NPI

Renata R. Russo

  • Audiologist
  • Yorktown Heights, NY
National Provider Identifier
1295385102
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11228 Issued in NY
Practice address
2651 Strang Boulevard
Ground Floor
Yorktown Heights, NY 10598
Phone
(914) 245-2681
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Hearing Instrument Specialist 237700000X 14000055942 NY
Audiologist 231H00000X 11228 NY Primary

Addresses

Primary practice location

2651 Strang Boulevard
Ground Floor
Yorktown Heights, NY 10598

Mailing address

660 White Plains Road - Enta
Fourth Floor
Tarrytown, NY 10591-6802
Phone (914) 984-2552

Other practice location 1

1075 Central Park Ave
Scarsdale, NY 10583-3242
Phone (914) 472-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200107002559 NY Practitioner - Qualified Audiologist 9931533593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

2651 Strang Blvd
Yorktown Heights, NY 10598-2940
Phone (914) 245-2681

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002910NYMDAcupuncturist
11228NYMDAudiologist
14000055942NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Dec 27, 2022 Accepting new patients

Locations

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1295385102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS ROAD - ENTA",
            "address_2": "FOURTH FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916802",
            "telephone_number": "914-984-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 STRANG BOULEVARD",
            "address_2": "GROUND FLOOR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-245-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105833242",
            "country_code": "US",
            "telephone_number": "914-472-4000",
            "fax_number": "914-472-4992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "RENATA",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000055942",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "11228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.