DR. CARMINE CARLO RUSSO (NPI# 1295846921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295846921 |
| Entity Type | Individual |
| Full Name | DR. CARMINE CARLO RUSSO |
| Credential | DMD, MS |
| Practice Address |
6 Prospect St Suite 1a Midland Park NJ 07432-1606 |
| Practice Telephone | 2014455555 |
| Practice Fax Number | 2014455057 |
| Mailing Telephone | 2014455555 |
| Mailing Fax Number | 2014455057 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DI018375 | NJ | Dental Providers |
| Street Address |
6 PROSPECT ST SUITE 1A |
| City | MIDLAND PARK |
| State | NJ |
| Zip Code | 07432-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017930 | Mario Edward Ramos | Dentist | 6 Prospect St, Suite 1a, Midland Park, NJ 07432-1606 | 2006-08-30 |
| 1447652607 | Debra Thompson | Social Worker | 6 Prospect St, Suite 3b, Midland Park, NJ 07432-1606 | 2014-09-18 |
| 1427362565 | Peter Pastras | Social Worker | 6 Prospect St, Suite 3b, Midland Park, NJ 07432-1606 | 2010-07-30 |
| 1659683001 | Clinical Services Management, P.C. | Social Worker | 6 Prospect St, Suite 3b, Midland Park, NJ 07432-1606 | 2010-07-13 |
| 1053579847 | Brian No | Dentist | 6 Prospect St, Midland Park, NJ 07432-1606 | 2008-05-28 |
| 1336296961 | Narmatha Sinnarajah | Dentist | 6 Prospect St, Suite 1a, Midland Park, NJ 07432-1606 | 2007-01-04 |
| 1245341981 | Pediatric Dentistry & Orthodontics, LLC | Dentist | 6 Prospect St, Suite 1a, Midland Park, NJ 07432-1606 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255897112 | Abilities Network LLC | Psychologist | 700 Godwin Avenue, Suite 120, Midland Park, NJ 07432 | 2019-02-15 |
| 1508264177 | Doctors Office of New Jersey, LLC | Clinic/Center | 85 Godwin Avenue, Midland Park, NJ 07432 | 2014-12-15 |
| 1992075469 | Vivian Dwyer | Counselor | 81 Park Ave., Misland Park, NJ 07432 | 2011-12-30 |
| 1417116542 | James Leon Hill | Veterinarian | 577 Godwin Ave, Midland Park, NJ 07432 | 2008-06-04 |
| 1831397520 | Eric D. Veenstra | Dentist | 44 Godwin Ave. Suite 200, Midland Park, NJ 07432 | 2007-07-05 |
| 1871797480 | Cynthia L. Picht | Counselor | 317 Godwin Ave Floor 3, Midland Park, NJ 07432 | 2007-06-14 |
| 1710029384 | Francis Vincent Natale | Chiropractor | 139 Godwin Ave, Midland Park, NJ 07432 | 2007-02-12 |
| 1992875967 | Thomas S Chobanian | Social Worker | 666 Godwin Ave, Suite 100, Midland Park, NJ 07432 | 2006-11-08 |
| 1013009596 | New Jersey Cvs Pharmacy LLC | Pharmacy | 85 Godwin Ave Midland Park Sc, Midland Park, NJ 07432 | 2006-09-29 |
| 1629173240 | Rahat Salamat | Internal Medicine | 44 Godwin Avenue, Suite 201, Midland Park, NJ 07432 | 2006-09-14 |
| Find all providers in zip 07432 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MIDLAND PARK |
| Zip Code | 07432 |
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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.