Donato S. Russo M.D., LLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

25MA05542500 Issued in NJ

Legal business name

DONATO S. RUSSO M.D., LLC

Practice address

1896 Morris Ave
3Rd Floor
Union, NJ 07083-3535

Phone

(908) 687-8282

Fax

(908) 810-9293

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donato S Russo, M.D.NPI 1427073311

Title

Owner

Phone

(908) 687-3894

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donato S Russo, M.D.

  • Obstetrics & Gynecology Physician
  • Union, NJ
  • NPI 1427073311
  NPD (past) Authorized official
• Nancy M Dotti, R.N. C.N.M

  • Advanced Practice Midwife
  • Union, NJ
  • NPI 1902008139
  NPD (past)
• Marianne K. Herrighty, M.D.

  • Obstetrics & Gynecology Physician
  • Kearny, NJ
  • NPI 1992740385
  NPD (past)
• Oladayo Taiwo Pratt, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Cypress, TX
  • NPI 1457848327
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912109877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 MORRIS AVE",
            "address_2": "3RD FLOOR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833535",
            "telephone_number": "908-687-8282",
            "fax_number": "908-810-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 MORRIS AVE",
            "address_2": "3RD FLOOR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833535",
            "telephone_number": "908-687-8282",
            "fax_number": "908-810-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONATO S. RUSSO M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DONATO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-687-3894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA05542500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BP279",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reproductive Endocrinology Physician in Union, NJ
• Providers in Union, NJ by specialty
• Reproductive Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.