Melissa Russofranco

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01184500 Issued in NJ

Practice address

611 N Maple Ave
Ho Ho Kus, NJ 07423-1668

Phone

(201) 447-1112

Fax

(201) 447-1280

NPI assigned

Oct 13, 2006

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Best Rehab PT PC

  • Physical Therapy Clinic/Center
  • Ho Ho Kus, NJ
  • NPI 1477610822

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1770673469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSOFRANCO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01184500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET/AETNA",
            "identifier": "0224219",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NL7012",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Rita Rizzo, APRN-C
• Josephine Cuore Romito, LCSW
• Alanna M Rooney, DPT
• Brian Roth, DMD
• Ariel Tzvi Rozenberg, LAC
• Kathy J Ryu, LAC
• Marissa Sala, D.D.S.
• Rose Marie Santos-Martinez, O.T.R.
• Seung U Shon Dmdpc (Ho Ho Kus Root Canal)
• Sheridan Cannonllc

• Physical Therapist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.