Timothy C Delrusso MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

165387-1 Issued in NY

Legal business name

TIMOTHY C DELRUSSO MD PC

Practice address

1541 Union St
First Floor
Schenectady, NY 12309-6001

Phone

(518) 382-2077

Fax

(518) 382-2077

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Carl Delrusso, MD

Title

President

Phone

(518) 382-2077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1447448246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 UNION ST",
            "address_2": "FIRST FLOOR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096001",
            "telephone_number": "518-382-2077",
            "fax_number": "518-382-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 UNION ST",
            "address_2": "FIRST FLOOR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096001",
            "telephone_number": "518-382-2077",
            "fax_number": "518-382-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C DELRUSSO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "DELRUSSO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-382-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "165387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Tice, RN
• Debra Tietjen, RN
• Todd C Tillman Jr., LPN
• Sarahanne Timian, SLP
• Konstantin Timofeev, M.D.
• Brenda Tirado
• William T. Tirone, DDS
• Victoria Tizzano, PHARMD, RPH
• TLC Wellness Group, LLC
• Martha Tobey

• Specialist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.