EMILY RUSSO (NPI# 1356950323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356950323 |
| Entity Type | Individual |
| Full Name | EMILY RUSSO |
| Credential | PA-C |
| Practice Address |
630 W 168th St New York NY 10032-3725 |
| Mailing Address |
2008 Sylvan Ter Yardley PA 19067-3170 |
| Practice Telephone | 2123052500 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 025132 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYSED OFFICE OF THE PROFESSIONS | 025132 | 01 |
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1173576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688688 | Emily Russo | Social Worker | 75 Francis St, Boston, MA 02115-6110 | 2018-05-08 |
| 1467816389 | Emily Russo | Physical Therapist | 75 Francis St, Inpatient Rehab, Tower 2c, Boston, MA 02115-6110 | 2016-04-06 |
| Street Address |
630 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1528669793 | Chrissa Pantazis | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-11-04 |
| 1942801410 | Rozalina Abramov | Pharmacist | 630 W 168th St, New York, NY 10032-3725 | 2020-11-02 |
| 1235742438 | Lindsey Root Kus | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1144833344 | William Tyler Marshall | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1619589868 | Swen D Paguia | Student in an Organized Health Care Education/Training Program | 630 W 168th St, New York, NY 10032-3725 | 2020-08-19 |
| 1821600214 | Kirsten Michele Gutlay | Nurse Practitioner | 630 W 168th St, New York, NY 10032-3725 | 2020-08-18 |
| 1780202853 | Cassandra Caroline Johnson | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-06 |
| 1831715572 | Nicole Marie Monnecka | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-06-18 |
| 1821613191 | Casey Ann Colangelo | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| 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 |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
| Find all providers in NEW YORK | ||||
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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.