Active NPI
Armando Russo, M.D.
- Specialist
- Vineland, NJ
National Provider Identifier
1720008386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1102 E Chestnut Ave
Vineland, NJ 08360-5002 - Phone
- (856) 690-1025
- Fax
- (856) 690-1352
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Mailing address
PO Box 173
Millville, NJ 08332-0173
Phone (856) 690-1025
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBP023 | Other | NJ | OXFORD |
| 01000273100 | Other | NJ | AMERICHOICE |
| 027416 | Other | NJ | AMERIHEALTH |
| 81287 | Other | NJ | 81287 |
| 2K6450 | Other | NJ | HEALTHNET |
| 1028423 | Other | NJ | HORIZON NJ HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1720008386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083320173",
"telephone_number": "856-690-1025",
"fax_number": "856-690-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605002",
"telephone_number": "856-690-1025",
"fax_number": "856-690-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "ARMANDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CBP023",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000273100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "027416",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "81287",
"identifier": "81287",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K6450",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1028423",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.