NPIMap

Organization Active NPI

Grace Russo, Inc.

  • Early Intervention Provider Agency
  • Sparta, NJ
National Provider Identifier
1861642787
Registry record updated Sep 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
GRACE RUSSO, INC.
Practice address
43 Conestoga TRL
Sparta, NJ 07871-2509
Phone
(973) 726-7786
Fax
(973) 726-7786
NPI assigned
Sep 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2008

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

Authorized official

Name
Ms. Grace Russo, M.S., ED.NPI 1215187133
Title
President
Phone
(914) 443-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NY Primary

Addresses

Primary practice location

43 Conestoga TRL
Sparta, NJ 07871-2509

Mailing address

43 Conestoga TRL
Sparta, NJ 07871-2509
Phone (973) 726-7786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222560000000",
    "number": "1861642787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CONESTOGA TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712509",
            "telephone_number": "973-726-7786",
            "fax_number": "973-726-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CONESTOGA TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712509",
            "telephone_number": "973-726-7786",
            "fax_number": "973-726-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RUSSO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-28",
        "last_updated": "2008-09-28",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-443-0138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., ED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2008; 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.