Active NPI
Jennifer Russo
- Internal Medicine Physician
- Lowell, MA
National Provider Identifier
1699032128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 261536
- Practice address
- 166 Central St
Lowell, MA 01852 - Phone
- (978) 513-7300
- Fax
- (781) 268-5070
- NPI assigned
- Apr 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 261536 | MA | Primary |
Addresses
Primary practice location
166 Central St
Lowell, MA 01852
Mailing address
240 Main St
Groton, MA 01450-1236
Phone (978) 448-4300
Other practice location 1
37 Friend St
Lynn, MA 01902
Phone (978) 513-7286
Other names 1
- Jennifer Aborn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Massachusetts Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Care Central Vna & Hospice Inc
- Emerson Hospital Home Care Program
- Emerson Hospital -
- Massachusetts Eye and Ear Infirmary -
- Umass Memorial Healthalliance Hospitals
- Lahey Hospital & Medical Center, Burlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261536 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
240 Main St
Groton, MA 01450
Phone (978) 448-4379
Interoperability endpoints
- russo.jennifer.epa@direct.partners.masshiway.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Marlborough, MA
- NPI 1043501612
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1699032128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAIN ST",
"city": "GROTON",
"state": "MA",
"postal_code": "014501236",
"telephone_number": "978-448-4300",
"fax_number": "978-448-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 CENTRAL ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "01852",
"telephone_number": "978-513-7300",
"fax_number": "781-268-5070"
}
],
"practiceLocations": [
{
"address_1": "37 Friend St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "01902",
"country_code": "US",
"telephone_number": "978-513-7286",
"fax_number": "781-268-5070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-22",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "261536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ABORN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.