Salvatore J Russomano, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA0509100 Issued in NJ

Practice address

3100 Hingston Ave Ste 104
Egg Harbor Township, NJ 08234-4409

Phone

(888) 985-2727

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physical Medicine and Rehabilitation

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.69 of 100Reported as group

Quality

69.54

Promoting interoperability

95

Improvement activities

40

Cost

75.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: salvatore.russomano.1@11679.direct.athenahealth.com

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.

• Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Hammonton, NJ
  • NPI 1730359084
  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Phoenixville, PA
  • NPI 1740996586
  NPD
• Advanced Spine and Pain LLC

  • Pain Medicine Physician
  • Toms River, NJ
  • NPI 1922731017
  NPD (past)
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1326097874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8627",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020627",
            "telephone_number": "856-755-1616",
            "fax_number": "856-755-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HINGSTON AVE STE 104",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344409",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Zion Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251844",
            "country_code": "US",
            "telephone_number": "609-641-2581",
            "fax_number": "609-641-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSOMANO",
        "first_name": "SALVATORE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA0509100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5503400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223233709",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1119428",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1258829",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250004594",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0313495000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "487258",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIG MVA/WORKMANS COMP",
            "identifier": "11535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO/PPO",
            "identifier": "4306370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ATS024",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Rossi, MT-BC
• Rothman Institute of New Jersey, P.a.
• Megan Kathleen Rundall
• Arwyn Grace Russell
• Hannah D Russell
• Devon Marie Rutherford, PA-C
• Adam Saad, MD
• Meera Sahni, DMD, MS
• Salartash Surgical Associates, LLC
• Khashayar Salartash, MD

• Physical Medicine & Rehabilitation Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• 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.