Jennifer Lynn Larusso, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

25MB07507100 Issued in NJ

Practice address

771 E Route 70
Suite D150
Marlton, NJ 08053-2352

Phone

(856) 569-3393

Fax

(856) 596-3394

NPI assigned

Jun 22, 2008

Last updated

Jul 14, 2014By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Rowan University School of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunwise Dermatology and Surgery LLCGroup PAC ID 7911272299, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Sunwise Dermatology & Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Middletown, DE
  • NPI 1386160059
  Medicare reassignment Care Compare group NPD Authorized official
• Burke Dermatology, PA

  • Dermatology Physician
  • Newark, DE
  • NPI 1871646919
  Medicare reassignment NPD
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  NPD
• Hera Inpatient Services

  • Internal Medicine Physician
  • Somers Point, NJ
  • NPI 1760511240
  NPD (past)
• Advanced Ears Nose and Throat LLC

  • Otolaryngology Physician
  • Newark, DE
  • NPI 1154445559
  NPD (past)
• Clinical Staffing Solutions P.C.

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1487684114
  NPD (past)
• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1932360906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CROWS NEST CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546109",
            "telephone_number": "856-273-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E ROUTE 70",
            "address_2": "SUITE D150",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532352",
            "telephone_number": "856-569-3393",
            "fax_number": "856-596-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUSSO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS013778",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "OS013778",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MB07507100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lampone, MD
• Jared Lander
• Landry Physical Therapy & Wellness Services, LLC
• Lorraine Ann Laporte, LCSW
• Jay Lappin
• Croy Laughlin
• Kevin James Laughlin, ED.D., LPC
• Shaelene Rae Lauriano, LAC, NCC
• Jada Lawrence-Galloway, LCSW
• Naomi Lawrence, MD

• MOHS-Micrographic Surgery Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• MOHS-Micrographic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.