JACQUELYN RUSSO (NPI# 1093252538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093252538 |
| Entity Type | Individual |
| Full Name | JACQUELYN RUSSO |
| Practice Address |
160 E Erie Ave Philadelphia PA 19134-1011 |
| Mailing Address |
2530 S Mole St Philadelphia PA 19145-4606 |
| Practice Telephone | 2154275000 |
| Mailing Telephone | 4844779599 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
SP016464 | PA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780064097 | Jacquelyn Russo | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2015-06-02 |
| Street Address |
160 E ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1932700150 | Alexandria Nicole Torrisi | Physician Assistant | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-11-04 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| 1760009450 | Cassandra Anne Pantano | Nurse Practitioner | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-29 |
| 1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
| 1992326789 | Kerby Zeisloft | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-03 |
| 1467073353 | Neil Himanshu Patel | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-01 |
| 1629699665 | Rose B Bayer | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| 1972124931 | Neha Jadhav | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168379 | Farzana Shah | General Acute Care Hospital | 1613 Colima Rd, Philadelphia, PA 19115-4205 | 2016-12-07 |
| 1982915856 | St. Christopher's Hospital | General Acute Care Hospital | 136 N Bread St Apt 224, Philadelphia, PA 19106-1943 | 2010-06-25 |
| 1417188111 | Children's Hospital of Philadelphia | General Acute Care Hospital | 2300 Pine St Apt 4a, Philadelphia, PA 19103-6468 | 2009-07-30 |
| 1306090113 | Children's Hospital of Philadelphia | General Acute Care Hospital | 34th & Civic Center Bldvd, Philadelphia, PA 19104 | 2008-11-06 |
| 1780204362 | Perrie Lyn Epstein | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
| 1932729480 | Joseph Tran | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
| 1770102576 | Chad Alan Ross | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-11 |
| 1043763311 | Sarah Limbach | General Acute Care Hospital | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-08-03 |
| 1053786731 | Kimberly Venella | General Acute Care Hospital | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2015-12-07 |
| 1497135982 | St. Christopher's Hospital for Children | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2015-06-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
Please comment or provide details below to improve the information on JACQUELYN RUSSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.