MRS. MARY ELIZABETH RUSSO (NPI# 1225299381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225299381 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELIZABETH RUSSO |
| Credential | RPA-C |
| Practice Address |
540 Union Blvd West Islip NY 11795-3105 |
| Practice Telephone | 6316692555 |
| Practice Fax Number | 6316693051 |
| Mailing Telephone | 6316692555 |
| Mailing Fax Number | 6316693051 |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006322 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962703587 | Mary R Russo | Registered Nurse | 603 Willow Ave, Ithaca, NY 14850-3555 | 2010-11-12 |
| 1275851404 | Mary Helen Russo | Audiologist | 750 N Ocean Blvd, # 602, Pompano Beach, FL 33062-4644 | 2010-05-12 |
| 1003049230 | Mary Kathleen Russo | Occupational Therapist | 3775 Country Ln, Brownsburg, IN 46112-8375 | 2009-09-04 |
| 1689880619 | Mary Russo | Marriage & Family Therapist | 137 E Hamilton Ave Ste 207, Campbell, CA 95008-0244 | 2007-05-15 |
| 1023421864 | Mary Russo | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2014-06-10 |
| 1982970935 | Mary M Russo | Case Manager/Care Coordinator | 420 Magnolia St, Houma, LA 70360-6304 | 2012-03-23 |
| 1134304967 | Mary Frances Russo | Psychologist | 100 State St, Suite 202, Erie, PA 16507-1454 | 2007-12-28 |
| 1710030234 | Mary Kathleen Russo | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2007-01-19 |
| 1205922382 | Mary Russo | Dietitian, Registered | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-10-05 |
| Street Address |
540 UNION BLVD |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407833353 | Gonzalo M Saravi | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2005-12-30 |
| 1689130601 | Edward Francis Kane | Physician Assistant | 540 Union Blvd, West Islip, NY 11795-3105 | 2019-02-14 |
| 1447739388 | Kelly Ann Toolan | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2018-08-10 |
| 1255885976 | Elise Aufiero | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795 | 2016-08-10 |
| 1649601758 | Eileen Alessandro | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-11-29 |
| 1699102814 | Catherine Joy Feliciano | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-10-02 |
| 1881034858 | Melissa Ashley Fengler | Registered Nurse | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-07-05 |
| 1235575093 | Jennifer B Trascoy | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2013-05-20 |
| 1871847210 | Camille Colletti | Nurse Practitioner | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-11-07 |
| 1710247549 | Wilbur Jeremiah Asheld | Internal Medicine | 540 Union Blvd, West Islip, NY 11795-3105 | 2012-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238352 | Chelsea Papocchia | Physician Assistant | 341 Martin Dr, West Islip, NY 11795-2003 | 2017-11-09 |
| 1356867808 | Charles Vollmoeller | Physician Assistant | 1111 Montauk Hwy Ste 3, West Islip, NY 11795-4910 | 2017-08-16 |
| 1396287819 | Christopher David Alleva | Physician Assistant | 148 Sunrise Hwy, West Islip, NY 11795-2012 | 2016-11-15 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1316253750 | Gina Marie Beltrami | Physician Assistant | 108 Higbie Lane, West Islip, NY 11795 | 2010-08-23 |
| 1972736429 | Rosemary A. Verow-freitag | Physician Assistant | 556 Montauk Hwy., West Islip, NY 11795-4407 | 2009-09-01 |
| 1730363482 | Steven Matthew Ferrante | Physician Assistant | 367 W 2nd St, West Islip, NY 11795-2430 | 2007-12-18 |
| 1962440834 | Charles Levinson | Physician Assistant | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-06-03 |
| 1437762325 | Joanna Frances Tanzman | Physician Assistant | 1111 Montauk Hwy, West Islip, NY 11795-4910 | 2020-08-28 |
| 1922643501 | Amanda Capizzi | Physician Assistant | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2019-11-07 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
Please comment or provide details below to improve the information on MRS. MARY ELIZABETH 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.