Russell W. Kadro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F352876-01 Issued in NY

Practice address

265 Mason Ave
Staten Island, NY 10305-3412

Phone

(718) 979-5880

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mason Medical Practice PLLC

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1306639018
  NPD
• Premier Medical, PLLC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1962682864
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1639950033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102414",
            "telephone_number": "917-664-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053412",
            "telephone_number": "718-979-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRO",
        "first_name": "RUSSELL",
        "middle_name": "W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352876-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manali A Kadam, PT
• Ashish Kadinjicandy
• Buhalqem H Kadire, MD
• Armina Kadriovski
• Justin Kadro, BSN, RN
• Jacqueline Kaffl, RN
• Karl Hristoff Kafozoff, P.T., L.AC.
• Moshe Kahan
• Brandon Avraham Kahen, DO
• Brian Nisan Kahen, DO

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.