Linda Anne Russomanno, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01124700 Issued in NJ

Practice address

408 Chris Gaupp Dr Ste 100
Galloway, NJ 08205-4492

Phone

(609) 910-0270

Fax

(609) 910-3350

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.74 of 100Reported as group

Quality

78.01

Improvement activities

40

Cost

65.13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Yes Wellness PA

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1730656463
  Medicare reassignment NPD

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1710131321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR STE 100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054492",
            "telephone_number": "609-910-0270",
            "fax_number": "609-910-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR STE 100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054492",
            "telephone_number": "609-910-0270",
            "fax_number": "609-910-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSOMANNO",
        "first_name": "LINDA",
        "middle_name": "ANNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2023-08-07",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11522300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01124700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Suites Care Center LLC (Royal Suites Health Care & Rehabilitation)
• Carolyn E Ruef, APN.C
• Jesus Andres Rufino, PT
• Run to the Best You
• Josephine Rundall
• Joy Russomano, RD
• Kristin A Ryan, LCSW
• S.O.B Health System LLC (Sabaina Family Chiropractic and Wellness Center)
• Thomas Sacchetti, OT
• Nadia Sadik, M.D.

• Nurse Practitioner in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• 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.

Verify at the official NPI Registry.