Active NPI
John Dempsey Hospital
- Registered Dietitian
- Farmington, CT
National Provider Identifier
1649435900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 03-637643
- Legal business name
- JOHN DEMPSEY HOSPITAL
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0001 - Phone
- (860) 679-4450
- NPI assigned
- Jul 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jiuseppe M Russo, R.D.
- Title
- Registered Dietitian
- Phone
- (860) 679-4450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 03-637643 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-4450
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1649435900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN DEMPSEY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "RUSSO",
"authorized_official_first_name": "JIUSEPPE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "860-679-4450",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "03-637643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.