ROCCO RUSSO (NPI# 1174664858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174664858 |
| Entity Type | Individual |
| Full Name | ROCCO RUSSO |
| Credential | M.D. |
| Practice Address |
127 Main St Highland Falls NY 10928-4019 |
| Mailing Address |
2570 Route 9w Ste 10 Cornwall NY 12518-1370 |
| Practice Telephone | 8454464076 |
| Mailing Telephone | 8452203100 |
| Mailing Fax Number | 8455342940 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 259143 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 035913 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1174664858 | 05 | |
| CT | ANTHEM | 010035913CT | 01 |
| CT | HEALTHNET | 2V9661 | 01 |
| NY | 03421327 | 05 |
| Street Address |
127 MAIN ST |
| City | HIGHLAND FALLS |
| State | NY |
| Zip Code | 10928-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601503 | Cornerstone Family Healthcare | Clinic/Center | 127 Main St, Highland Falls, NY 10928-4019 | 2020-05-27 |
| 1922318955 | Cardiology Consultants of Westchester, PC | Internal Medicine | 127 Main St, Highland Falls, NY 10928-4019 | 2010-10-08 |
| 1659473494 | Koreen E. Thomas | Nurse Practitioner | 127 Main St, Highland Falls, NY 10928-4019 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588187280 | Bernadette Murphy | Registered Nurse | 120 Mountain Ave, Highland Falls, NY 10928 | 2017-07-25 |
| 1548617590 | Javier Omar Gomez | Student in an Organized Health Care Education/Training Program | 6 Overlook Pl, Highland Falls, NY 10928 | 2016-05-19 |
| 1295828150 | George Stephen Papageorge | Dentist | 70 Villa Parkway, Highland Falls, NY 10928 | 2006-10-02 |
| 1427592203 | Jan Conley | Specialist | Old State Road, Apt 93, Highland Falls, NY 10928 | 2016-12-13 |
| 1053680694 | Highland Falls/fort Montgomery Central School District | Registered Nurse | 52 Mountain Ave, Highland Falls, NY 10928 | 2011-12-28 |
| 1184761587 | Highland Falls Ft. Montgomery Central School District | Local Education Agency (LEA) | 52 Mountain Avenue, Highland Falls, NY 10928-0287 | 2007-02-01 |
| 1225238660 | Charles Ladd Stoll | Social Worker | 123 Mearns Ave, Highland Falls, NY 10928-1009 | 2007-07-24 |
| 1588120745 | Karen Schocher | Licensed Practical Nurse | 130 Mearns Ave, Highland Falls, NY 10928-1010 | 2019-02-13 |
| 1023260387 | Robert Edward Duvall | Occupational Therapist | 28 Mearns Ave, Highland Falls, NY 10928-1104 | 2008-10-17 |
| 1710532304 | Francis Talty | Physical Therapist | 98 Mearns Ave, Highland Falls, NY 10928-1106 | 2019-08-09 |
| Find all providers in zip 10928 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173164 | Robin Jean Portelli | Family Medicine | 144 Main St, Highland Falls, NY 10928-1520 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND FALLS |
| Zip Code | 10928 |
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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.