Dorothy Michele Russo I, R.N.

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

511914 Issued in NY

Practice address

773-775 9TH Avenue
New York, NY 10019

Phone

(212) 586-1550

NPI assigned

Jul 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Midtown Health Center Pharmacy

  • Clinic Pharmacy
  • New York, NY
  • NPI 1538312749
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1407101082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 WAVERLY AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722720",
            "telephone_number": "516-581-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773-775 9TH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-586-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DOROTHY",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "511914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Russo, PA-C
• Diane Marie Russo
• Donna A Russo, PA-C
• Donna Carol Russo, M.S.
• Dorothy Russo
• Emily Russo, PA-C
• Evelyn Russo, OTR/L
• Geena Marie Russo, D.M.D.
• George A Russo II, DO
• Geraldine Russo, LCSW CASAC

• Ambulatory Family Planning Facility in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Family Planning Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.