JARED RUSSOM (NPI# 1396344743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396344743 |
| Entity Type | Individual |
| Full Name | JARED RUSSOM |
| Practice Address |
13 Brookview Ave. Delmar NY 12054 |
| Practice Telephone | 5184142927 |
| Mailing Telephone | 5184142927 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13 BROOKVIEW AVE. |
| City | DELMAR |
| State | NY |
| Zip Code | 12054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457825804 | Sharmon Michele Valerian | Physical Therapist | 241 Westchester Dr S, Delmar, NY 12054 | 2019-01-18 |
| 1821519935 | Jody Gail Ference | Occupational Therapist | 700 Delaware Ave., Bethlehem Central School District, Delmar, NY 12054 | 2017-06-28 |
| 1437688181 | Lullaby Lactation | Registered Nurse | 47 Crystal Lane, Delmar, NY 12054 | 2017-06-07 |
| 1306380852 | Katherine Mcguinness | Social Worker | 10 Hallwood Rd Ste D, Delmar, NY 12054 | 2016-12-16 |
| 1427465731 | Judy Marie Wilday | Registered Nurse | 30 Hunter Road, Delmar, NY 12054 | 2014-07-18 |
| 1063772226 | Fabiola Allisson Estrada | Physician Assistant | 99 Delaware Ave # Mc133, Delmar, NY 12054 | 2012-05-22 |
| 1366765075 | Carmen Lewis Panetta Jr. | Pharmacist | 293 Elm Aveune, Delmar, NY 12054 | 2010-03-09 |
| 1164669990 | Caroline Macrae | Speech-Language Pathologist | 16 Axbridge Lane, Delmar, NY 12054 | 2009-01-15 |
| 1316155336 | Sailaja Alapati | Anesthesiology | 18 Salem Road, Delmay, NY 12054 | 2007-05-21 |
| 1962556126 | Joseph V Olejak | Chiropractor | 323 Delaware Ave, Delmar, NY 12054 | 2007-01-23 |
| Find all providers in zip 12054 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821406398 | Lori Dewald | Specialist/Technologist | 9563 Wedge Way, Delmar, MD 21875-2377 | 2014-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1295333870 | Olivia Sarkodie Arthur | Specialist/Technologist | 128 Forest Ave, Buffalo, NY 14213-1039 | 2020-10-15 |
| 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.