MRS. LISA MARIA RUSSO (NPI# 1831245687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831245687 |
Entity Type | Individual |
Full Name | MRS. LISA MARIA RUSSO |
Other Name | MS. LISA MARIA BAPTISTA |
Credential | RD |
Practice Address |
216 Palmer St Elizabeth NJ 07202-5900 |
Mailing Address |
10 Church Towers Apt 2n Hoboken NJ 07030 |
Practice Telephone | 9083530500 |
Mailing Telephone | 9734600616 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2014-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
952153 | NJ | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | OXFORD | P3595969 | 01 |
NJ | COUNCIL OF AFFORDABLE QUA | 11452348 | 01 |
NJ | UNITED HEALTH CARE | 0251854103 | 01 |
NJ | AETNA US HEALTHCARE | 3980567 | 01 |
NJ | HORIZON BLUE CROSS | 223452311 | 01 |
NJ | GREAT WEST | 223452311 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134786726 | Lisa Dawn Russo | Dental Hygienist | 2855 E Blackhawk Ct, Gilbert, AZ 85298-1003 | 2019-05-20 |
1487748190 | Lisa Marie Russo | Social Worker | 4777 E Outer Drive, Detroit, MI 48234 | 2006-10-03 |
Street Address |
216 PALMER ST |
City | ELIZABETH |
State | NJ |
Zip Code | 07202-5900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073523627 | Paul Vaiana | Internal Medicine | 216 Palmer St, Elizabeth, NJ 07202-3918 | 2006-08-08 |
1851679401 | Nj Balance Testing & Fall Prevention Assoc LLC | Internal Medicine | 216 Palmer St, Elizabeth, NJ 07202-5900 | 2011-08-01 |
1497941231 | Paul Vaiana Md Inc | Internal Medicine | 216 Palmer St, Elizabeth, NJ 07202-3918 | 2007-09-14 |
1770639601 | Millennium Chiropractic Office, PC | Chiropractor | 216 Palmer St, Elizabeth, NJ 07202-3918 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
Find all providers in zip 07202 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
1871929109 | Janet S. Kopchinski | Dietitian, Registered | 7 Washington Street, Suite 3 Be Well Morristown, Morristown, NJ 07960 | 2013-09-18 |
1043657711 | Diane Z. Duelfer | Dietitian, Registered | 100 Madison Ave # 82, Morristown, NJ 07960-6136 | 2013-06-04 |
1932546686 | Lauren Udall | Dietitian, Registered | 10 Mayfair Rd, Morris Plains, NJ 07950-2226 | 2013-06-03 |
1922581255 | One With Nutrition LLC | Dietitian, Registered | 1 Stilwell Dr, Holmdel, NJ 07733-1927 | 2018-09-12 |
1376048801 | Andrea Lynn Siering | Dietitian, Registered | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2018-03-27 |
1134622475 | Sharon Wieder Nutrition LLC | Dietitian, Registered | 100 E Main St, Bogota, NJ 07603-1310 | 2018-03-13 |
1992205447 | Sharon R. Wieder | Dietitian, Registered | 100 E Main St, Bogota, NJ 07603-1310 | 2018-02-20 |
1538691977 | Kareboost Health LLC | Dietitian, Registered | 107 Cedar Grove Ln, Suite 100, Somerset, NJ 08873-4719 | 2017-04-03 |
1265890578 | Melanie Lee | Dietitian, Registered | 89 French St, New Brunswick, NJ 08901-1935 | 2016-02-01 |
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.