JOSEPH P. RUSSO (NPI# 1336121334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121334 |
| Entity Type | Individual |
| Full Name | JOSEPH P. RUSSO |
| Credential | D.D.S. |
| Practice Address |
15 W Water St Wakefield MA 01880-2914 |
| Practice Telephone | 7812454400 |
| Practice Fax Number | 7812454400 |
| Mailing Telephone | 7812454400 |
| Mailing Fax Number | 7812454400 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12262 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA | XO5115RU | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1184946477 | Joseph Russo I | Pharmacist | 741 E Little Creek Rd, Norfolk, VA 23518-3709 | 2010-02-27 |
| 1073770194 | Joseph Abel Russo | Psychiatry & Neurology | 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 | 2008-05-16 |
| 1104032184 | Joseph Anthony Russo | Dentist | 155 Seashore Dr, Jupiter, FL 33477-9687 | 2007-05-15 |
| 1982823753 | Joseph E. Russo | Physical Therapist | 274 1st Ave, 7 D, New York, NY 10009-1809 | 2007-04-24 |
| 1356443030 | Joseph A. Russo | Chiropractor | 1605 Locust Hill Rd, Suite 101, Greer, SC 29651-6075 | 2006-09-02 |
| 1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
| 1053393884 | Joseph Louis Russo | Chiropractor | 500 Park Blvd, Massapequa Park, NY 11762-2742 | 2005-11-17 |
| 1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
| 1104425974 | Joseph Russo | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| Street Address |
15 W WATER ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285783902 | Joseph P. Russo, D.d.s. PC | Dentist | 15 W Water St, Wakefield, MA 01880-2914 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568979938 | Carolyn Deangelis | Dentist | 61 Andrews Rd, Wakefield, MA 01880-5139 | 2018-01-05 |
| 1669746004 | Capalbo Dental Group of Wakefield, LLC | Dentist | 9 Cherry Ln, Wakefield, RI 02879-3603 | 2012-03-02 |
| 1346555174 | Nurhan Arnold Adrian | Dentist | 81 Farm St, Wakefield, MA 01880-3549 | 2010-08-17 |
| 1821220179 | David James Fiore | Dentist | 39 Yale Ave, Wakefield, MA 01880-2308 | 2009-08-20 |
| 1235334863 | Kevin J. Mcneil, D.d.s. | Dentist | 10 Crescent St, Wakefield, MA 01880-2413 | 2007-06-14 |
| 1821119868 | Frank E Delmonico | Dentist | 4959 Tower Hill Rd, Wakefield, RI 02879 | 2007-04-03 |
| 1013035807 | Philip J Koralishn | Dentist | 544 Salem Street, Wakefield, MA 01880-1213 | 2007-03-27 |
| 1609907922 | Gerry J Casazza | Dentist | 968 Main St, Wakefield, MA 01880-3989 | 2007-03-08 |
| 1720126147 | James N Showstack Dds Inc | Dentist | 9a Richardson Ave, Wakefield, MA 01880 | 2007-02-01 |
| 1003952508 | Richard Joseph Luise | Dentist | 5 Common St, Wakefield, MA 01880-2303 | 2007-01-30 |
| Find all providers in WAKEFIELD | ||||
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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.