DR. STEPHEN M DIRUSSO (NPI# 1124185483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124185483 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M DIRUSSO |
| Credential | M.D. |
| Practice Address |
4422 3rd Ave St. Barnabas Hospital Dept Surgery 2nd Flor Mills Blvd Bronx NY 10457-2545 |
| Mailing Address |
4422 Third Ave Dept of Surgery 2nd Floor Mills Building Bronx NY 10457 |
| Practice Telephone | 7189606127 |
| Mailing Telephone | 7189606127 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
203772 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1724423 | 05 |
| Street Address |
4422 3RD AVE ST. BARNABAS HOSPITAL DEPT SURGERY 2ND FLOR MILLS BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10457-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203724 | David Adam Perlstein | Pediatrics | 4422 3rd Ave, Bronx, NY 10457-2545 | 2005-05-24 |
| 1275132029 | Amanda Surita Rampersaud | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-10-22 |
| 1841899606 | Ilanit Zada | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-10-22 |
| 1912506676 | Debra Willner | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-10-22 |
| 1801403308 | Daniel Adrian Fernandez Felix | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-09-29 |
| 1588271506 | St. Barnabas Hospital | Pharmacy | 4422 3rd Ave, Outpatient Pharmacy -- Room G53, Bronx, NY 10457-2594 | 2020-09-24 |
| 1548875347 | Rebecca Zanzerkia | Physician Assistant | 4422 3rd Ave, Bronx, NY 10457-2594 | 2020-09-09 |
| 1295349454 | Ruth E Cassidy | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-09-04 |
| 1194339531 | Jose Roberto Contreras Isussi | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-09-02 |
| 1215541883 | Abdulrasheed Olawale Akande | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2594 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053471615 | Howard R Doyle | Surgery | Mmc - Critical Care Medicine Moses Div, 111 East 210th Street, Bronx, NY 10467 | 2006-12-12 |
| 1902186497 | Ojinika Lynda Ikedilo | Surgery | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2011-08-28 |
| 1245386432 | Meno Ernst Lueders | Surgery | 234 E 149th St, Lincoln Medical Center, Bronx, NY 10451-5504 | 2007-01-28 |
| 1285796516 | Ronald J Simon | Surgery | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-12-14 |
| 1720146285 | Sheldon Teperman | Surgery | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-12-05 |
| 1679644223 | Samuel Patrick Kigongo-mwesezi | Surgery | 234 E 149th St, Bronx, NY 10451-5504 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442258 | Northern Westchester Surgical PC | Surgery | 672 Stoneleigh Ave Ste C116, Carmel, NY 10512-4635 | 2018-10-10 |
| 1902248248 | Stanley Wesotski | Surgery | 28 Whitney Gate, Smithtown, NY 11787-1747 | 2013-07-29 |
| 1942596762 | Isadora C Botwinick | Surgery | Hsc Level 19 Room 068, Stony Brook, NY 11794 | 2011-06-20 |
| 1912296195 | Elizabeth Kiselak | Surgery | 5 Summit Ave., Suite 105, Hackensack, NY 07601 | 2011-03-29 |
| 1144546995 | Michael Antonio Vella | Surgery | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2010-04-19 |
| 1952539967 | Amie L Lucia | Surgery | 750 East Adams St Ste. 4835, Syracuse, NY 13210 | 2009-06-29 |
| 1083853428 | Molly Elizabeth Moore | Surgery | 205 Hammocks Dr, Orchard Park, NY 14127-1683 | 2009-02-09 |
| 1356587653 | Andrew Joseph Deroo | Surgery | 43 New Scotlland Dr, Mc-194, Albany, NY 12208 | 2008-12-17 |
| 1831367929 | Fausto Y Vinces Do Pllc | Surgery | 136 Fieldpoint Dr, Irvington, NY 10533-1858 | 2008-02-12 |
| 1104027366 | Sofia Yusuf Naz | Surgery | 199 Underhill St, Yonkers, NY 10710-3810 | 2007-05-29 |
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| 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.