DR. NEIL P RUSSO (NPI# 1245335942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245335942 |
| Entity Type | Individual |
| Full Name | DR. NEIL P RUSSO |
| Credential | PSYD |
| Practice Address |
3554 Hulmeville Road Suite 107 Bensalem PA 19020-4366 |
| Practice Telephone | 2152458380 |
| Practice Fax Number | 2152458638 |
| Mailing Telephone | 2152458380 |
| Mailing Fax Number | 2152458638 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS003837L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC | 0023780000 | 01 |
| PA | AETNA | 0005541317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396866828 | Neil A Russo | Pharmacist | 134 Schwabie Tpke, Kerhonkson, NY 12446-1419 | 2007-04-02 |
| 1235290966 | Neil J Russo | Obstetrics & Gynecology | 375 Mount Pleasant Ave, Suite 202, West Orange, NJ 07052-2724 | 2006-12-13 |
| Street Address |
3554 HULMEVILLE ROAD SUITE 107 |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012490 | James Joseph Dirvin | Physical Therapist | 3554 Hulmeville Road, Bensalem, PA 19020 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861870263 | Rosemarie Manfredi | Psychologist | 3331 Street Rd Ste 407, Bensalem, PA 19020-2023 | 2015-05-18 |
| 1851496822 | Dr. Brad Shamis & Associates, LLC | Psychologist | 4802 Neshaminy Blvd Ste 6, Bensalem, PA 19020-1041 | 2006-09-14 |
| 1205859394 | Brad Shamis | Psychologist | 4802 Neshaminy Blvd, Suite B, Bensalem, PA 19020-1041 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427178 | Sabrina Hakim | Psychologist | 6001 University Boulevard, Jefferson Center 110, Moon Township, PA 15108-1189 | 2020-11-05 |
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1215541164 | Intellishyft, LLC | Psychologist | 1442 Pottstown Pike # 346, West Chester, PA 19380-1271 | 2020-09-08 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1992314470 | Ashley Gill | Psychologist | 627 Pittsburgh Rd Ste 2, Uniontown, PA 15401-2200 | 2020-07-30 |
| 1427666726 | Chu Chian Chong | Psychologist | 510 Brighton Rd, Collegeville, PA 19426-1756 | 2020-07-22 |
| 1245848027 | Revolutionary Perspectives, LLC | Psychologist | 3-1 Bloomfield Ave, Drexel Hill, PA 19026-5555 | 2020-07-17 |
| 1609494749 | Zachary Seth Stern | Psychologist | 225 N Broad St, Allentown, PA 18104-5347 | 2020-07-06 |
| 1275150021 | Peter Bachman | Psychologist | 3501 Forbes Ave Ste 450, Pittsburgh, PA 15213-3327 | 2020-06-28 |
| Find all providers with the same taxonomy | ||||
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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.