DR. MARY KATHLEEN RUSSO (NPI# 1710030234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710030234 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHLEEN RUSSO |
| Credential | D.M.D |
| Practice Address |
804 Highway 71 Sea Girt NJ 08750-2807 |
| Mailing Address |
808 Spray Ave Beachwood NJ 08722-4626 |
| Practice Telephone | 7324496564 |
| Practice Fax Number | 7324498606 |
| Mailing Telephone | 9737475383 |
| Mailing Fax Number | 7324496564 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02293800 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962703587 | Mary R Russo | Registered Nurse | 603 Willow Ave, Ithaca, NY 14850-3555 | 2010-11-12 |
| 1275851404 | Mary Helen Russo | Audiologist | 750 N Ocean Blvd, # 602, Pompano Beach, FL 33062-4644 | 2010-05-12 |
| 1003049230 | Mary Kathleen Russo | Occupational Therapist | 3775 Country Ln, Brownsburg, IN 46112-8375 | 2009-09-04 |
| 1689880619 | Mary Russo | Marriage & Family Therapist | 137 E Hamilton Ave Ste 207, Campbell, CA 95008-0244 | 2007-05-15 |
| 1023421864 | Mary Russo | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2014-06-10 |
| 1982970935 | Mary M Russo | Case Manager/Care Coordinator | 420 Magnolia St, Houma, LA 70360-6304 | 2012-03-23 |
| 1225299381 | Mary Elizabeth Russo | Physician Assistant | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-06-21 |
| 1134304967 | Mary Frances Russo | Psychologist | 100 State St, Suite 202, Erie, PA 16507-1454 | 2007-12-28 |
| 1205922382 | Mary Russo | Dietitian, Registered | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-10-05 |
| Street Address |
804 HIGHWAY 71 |
| City | SEA GIRT |
| State | NJ |
| Zip Code | 08750-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801954805 | John L Little, Dds, Pa | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| 1063627289 | Braces At Sea Girt LLC | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2007-05-11 |
| 1831257641 | John L Little Dds, Pa | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-05 |
| 1285792184 | John P Little | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| 1891853792 | John L Little | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056020 | Aileen Almonte | Dentist | 804 Nj-71, Sea Girt, NJ 08750 | 2019-04-23 |
| 1205302510 | Ilona Poley | Physician Assistant | 2130 Nj-35, Ste 321c, Sea Girt, NJ 08750 | 2018-10-15 |
| 1619458551 | Joan Marie Akins | Speech-Language Pathologist | Cornerstone Speech & Language LLC, 2130 Highway 35 Suite 311, Sea Girt, NJ 08750 | 2018-08-28 |
| 1437650207 | Maryna Hall | Nurse Practitioner | 700 Highway 71 Ste 9, Sea Girt, NJ 08750 | 2018-02-26 |
| 1144674763 | Seraya Ghoneim | Hearing Instrument Specialist | 700 Brooklyn Boulevard, Sea Girt, NJ 08750 | 2016-04-20 |
| 1902246044 | Encore Dental of Wall | Dentist | 1500 Meeting House Rd., Sea Girt, NJ 08750 | 2013-07-03 |
| 1891904967 | Lisa Jenny Hou | Otolaryngology | Bldg 64 Academy Way, Medical Command - National Guard Training Center, Sea Girt, NJ 08750 | 2007-05-22 |
| 1427276450 | Shore Geriatrics, LLC | Internal Medicine | 700 Route 71, Sea Girt, NJ 08750 | 2007-04-23 |
| 1164541124 | Kesha Renee Walton | Registered Nurse | 2130 Hwy 35 Suite 324, Sea Girt, NJ 08750 | 2007-03-28 |
| 1063556199 | Anthony Scott Garrow | Chiropractor | 2204 Hwy. 35, Sea Girt, NJ 08750 | 2007-02-20 |
| Find all providers in zip 08750 | ||||
| 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 |
|---|---|---|---|---|
| 1861056020 | Aileen Almonte | Dentist | 804 Nj-71, Sea Girt, NJ 08750 | 2019-04-23 |
| 1801954805 | John L Little, Dds, Pa | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| 1245339100 | Robert M. Belott | Dentist | 800 The Plz, Suite #2, Sea Girt, NJ 08750-2900 | 2006-09-21 |
| 1033484654 | Brighter Smiles Family Dental, Pa | Dentist | 2164 Highway 35 Bldg B, Sea Girt, NJ 08750-1013 | 2012-03-14 |
| 1184743908 | Mark D Sheklian, Dmd, Pa | Dentist | 1330 Laurel Ave, Bldg 3, Ste 301, Sea Girt, NJ 08750-2300 | 2007-03-29 |
| 1588782874 | Sea Girt Dental Associates, L.L.C. | Dentist | 2130 Highway 35, Suite 211, Sea Girt, NJ 08750-1010 | 2007-03-26 |
| 1538223789 | Shalin Jani | Dentist | 2130 Highway 35, Suite 211, Sea Girt, NJ 08750-1010 | 2006-12-21 |
| 1831257641 | John L Little Dds, Pa | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-05 |
| 1285792184 | John P Little | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| 1891853792 | John L Little | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2006-12-04 |
| Find all providers in SEA GIRT | ||||
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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.