Active NPI
Karina Russo, KARINA
- Speech-Language Pathologist
- Scarsdale, NY
National Provider Identifier
1992298848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0256-1
- Practice address
- 963 Scarsdale Rd
Scarsdale, NY 10583-4852 - Phone
- (914) 810-2237
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0256-1 | NY | Primary |
Addresses
Primary practice location
963 Scarsdale Rd
Scarsdale, NY 10583-4852
Mailing address
11 Fieldcrest Rd
Yonkers, NY 10707-1009
Phone (845) 531-1209
Other practice location 1
200 Boces Dr
Yorktown Heights, NY 10598-4321
Phone (914) 245-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
171 Sullys TRL
Pittsford, NY 14534-4557
40 Exchange PL
Suite 1700
New York, NY 10005-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0256-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acds | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Clinical Social Worker
- New York, NY
- NPI 1184797284
-
- School Psychologist
- Scarsdale, NY
- NPI 1780187815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1992298848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FIELDCREST RD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107071009",
"telephone_number": "845-531-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 SCARSDALE RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834852",
"telephone_number": "914-810-2237"
}
],
"practiceLocations": [
{
"address_1": "200 Boces Dr",
"address_purpose": "LOCATION",
"city": "Yorktown Heights",
"state": "NY",
"postal_code": "105984321",
"country_code": "US",
"telephone_number": "914-245-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "KARINA",
"credential": "KARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0256-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.