DR. JULIUS RUSSELL (NPI# 1992849418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992849418 |
| Entity Type | Individual |
| Full Name | DR. JULIUS RUSSELL |
| Practice Address |
930 E Tremont Ave Bronx NY 10460-4363 |
| Practice Telephone | 7187641633 |
| Practice Fax Number | 6462241320 |
| Mailing Telephone | 7187641633 |
| Mailing Fax Number | 6462241320 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 103109 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 178923 | 05 |
| Street Address |
930 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10460-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806466 | Robert Mayes | Internal Medicine | 930 E Tremont Ave, Bronx, NY 10460-4304 | 2005-07-27 |
| 1205461902 | Pierre Zipagan Miranda | Physical Therapist | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2020-03-03 |
| 1770131849 | Medz Desravines | Acupuncturist | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2019-08-30 |
| 1811557846 | Diana Munoz | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2019-06-20 |
| 1225691249 | Usman Khan | Internal Medicine | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2019-04-16 |
| 1881161586 | Frank D Lee | Internal Medicine | 930 E Tremont Ave, 930 E Tremont Ave 930 E Tremont Ave, Bronx, NY 10460 | 2018-10-31 |
| 1396239489 | Kelly Anne Holroyd | Counselor | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2018-06-21 |
| 1912497017 | Yanka Benitez | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2018-05-14 |
| 1588177802 | Aliona Yezhova | Physician Assistant | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2017-11-08 |
| 1457895468 | Mark Ramos | Nurse Practitioner | 930 E Tremont Ave, Bronx, NY 10460-4363 | 2016-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211580 | Shira Wieder | Dermatology | 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463-3235 | 2015-04-01 |
| 1508048240 | Advanced Dermatology of New York PC | Dermatology | 291 E 149th St, Bronx, NY 10451-5601 | 2007-12-05 |
| 1477689362 | Susan Katz Md | Dermatology | 1578 Williasbridge Road, Bronx, NY 10461-6265 | 2007-02-26 |
| 1225199243 | Ronald Roman Liteplo | Dermatology | 3176 Bainbridge Avenue, Bronx, NY 10467-3980 | 2006-12-13 |
| 1619075389 | Peter G Burk | Dermatology | 267a W 231st St, Bronx, NY 10463-3903 | 2006-09-20 |
| 1477536068 | Kenneth Edward Bloom | Dermatology | 1455 West Ave, Bronx, NY 10462-7304 | 2005-11-28 |
| 1235124355 | Steven R Cohen | Dermatology | 111 East 210th Street, Division of Dermatology, Bronx, NY 10467-2490 | 2005-09-14 |
| 1295727808 | Eugene J Whang | Dermatology | 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465-2022 | 2005-08-19 |
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1972917524 | Emily Hejazi | Dermatology | 111 E 210th St, Bronx, NY 10467-2401 | 2014-06-11 |
| Find all providers in BRONX | ||||
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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.