Angela T Russo, MS, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

73 Holiday Park Dr
Hauppauge, NY 11788-2107

Phone

(914) 274-1144

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1942082649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HOLIDAY PARK DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882107",
            "telephone_number": "914-274-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HOLIDAY PARK DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882107",
            "telephone_number": "914-274-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ANGELA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Rozenveld
• Colleen Ruffini, LCSW
• Julia Rose Ruffino
• Maria T Rupolo, LPN
• Rebecca Russell
• Anna Marie T Russo, LCSW
• Ashlee Russo
• Dennis Russo, MD
• Toniann Russotto, RN
• Lacramioara Rusz, D.P.T

• Nutritionist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.