Lauren Ann Russo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024254 Issued in NY

Practice address

39 Hooyman Dr
Clifton, NJ 07013-3610

Phone

(973) 396-6667

NPI assigned

Dec 5, 2019

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Holsman Physical and Occupational Therapy PC

  • Physical Therapist
  • Rahway, NJ
  • NPI 1659079069

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1699312959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOOYMAN DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133610",
            "telephone_number": "973-396-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOOYMAN DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133610",
            "telephone_number": "973-396-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupa Ruffin
• Maria Ruiz-Pedraza, LAC
• Frank Ruiz, MD
• Brielle Alexandra Ruppert, MS CCC SLP
• Melissa Rusli, D.O.
• Marie Josephine Russo, LCSW
• Melchiorre Joseph Russo, MD
• Roberto Russo, DDS
• Michael C Russonella, DO
• Eva J Rymaszewska, PHARM D

• All providers in Clifton, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.