ANDREA M RUSSO (NPI# 1396777694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396777694 |
| Entity Type | Individual |
| Full Name | ANDREA M RUSSO |
| Credential | MD |
| Practice Address |
1 Cooper Plz 3 Dorrance Camden NJ 08103-1461 |
| Mailing Address |
1 Cooper Plz 4th Floor Cath Lab Camden NJ 08103-1461 |
| Practice Telephone | 8563422604 |
| Practice Fax Number | 8569688282 |
| Mailing Telephone | 8563422625 |
| Mailing Fax Number | 8569688431 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD037999E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD037999E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016796250001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083190854 | Andrea Russo | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-07-16 |
| 1336652056 | Andrea Russo | Audiologist | 1421 3rd Ave Apt 4, New York, NY 10028-1933 | 2017-11-16 |
| 1114442001 | Andrea Russo | Counselor | 286 S Main St Ste 200, Alpharetta, GA 30009-1943 | 2017-08-11 |
| 1093244303 | Andrea Russo | Peer Specialist | 5257 Ne Martin Luther King Jr Ste 201, Portland, OR 97211-3283 | 2017-06-08 |
| 1073927570 | Andrea Russo | Pharmacist | 933 Pleasant St, Fall River, MA 02723-1000 | 2014-06-12 |
| 1922311307 | Andrea Hoboken Russo | Obstetrics & Gynecology | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | 2010-07-14 |
| 1003043548 | Andrea L Russo | Radiology | 2014 Washington St, Newton, MA 02462-1607 | 2009-06-11 |
| 1841424777 | Andrea Russo | Social Worker | 567 Pleasant St, Brockton, MA 02301-2507 | 2009-05-06 |
| Street Address |
1 COOPER PLZ 3 DORRANCE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912912130 | Camden General and Vascular Surgery | Internal Medicine | 1001 Fairlawn Dr, Camden, SC 29020-4525 | 2006-07-29 |
| 1568496271 | Robert G Kiger | Internal Medicine | 1300 Haile St, Camden, SC 29020-3002 | 2006-07-10 |
| 1104858950 | William L Schoolmeester | Internal Medicine | 1045 W Dekalb St, Camden, SC 29020-4162 | 2006-07-06 |
| 1831142207 | Phillip A Koren | Internal Medicine | 3 Cooper Plz Rm 318, Camden, NJ 08103 | 2006-05-18 |
| 1528038817 | Charles Chandler Ashby Jr. | Internal Medicine | 100 Plank Bridge Rd, Camden, NC 27921-2792 | 2006-01-26 |
| 1942204912 | Mitchell Todd Alderson | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2005-06-08 |
| 1497175707 | Mubashar H Khan | Internal Medicine | 1 Cooper Plz, Dorrance 3rd Floor, Camden, NJ 08103-1461 | 2014-04-25 |
| 1407192289 | Brett Andrew Waldman | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-12-23 |
| 1508111568 | Travante Mcnae Cartwright | Internal Medicine | 1 Cooper Plz, Dorrance 261, Camden, NJ 08103-1461 | 2012-07-16 |
| 1043578974 | Omair Mohammad Javed | Internal Medicine | 401 Haddon Ave, Room 369, Camden, NJ 08103 | 2012-04-28 |
| Find all providers in CAMDEN | ||||
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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.