Active NPI
Anne Marie Russin, NP
- Women's Health Nurse Practitioner
- New York, NY
National Provider Identifier
1881920825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F360390-1
- Practice address
- 227 West 27TH Street
New York, NY 10001-5992 - Phone
- (212) 217-4190
- Fax
- (212) 217-4191
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F360390-1 | NY | Primary |
Addresses
Primary practice location
227 West 27TH Street
New York, NY 10001-5992
Mailing address
Seventh Avenue @ 27TH Street
Room A402
New York, NY 10001-5992
Phone (212) 217-4190
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360390-1 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1881920825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SEVENTH AVENUE @ 27TH STREET",
"address_2": "ROOM A402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015992",
"telephone_number": "212-217-4190",
"fax_number": "212-217-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 WEST 27TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015992",
"telephone_number": "212-217-4190",
"fax_number": "212-217-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSIN",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F360390-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.