Angela M Illuzzi Russo (NPI# 1811041726, PAC ID# 2163741513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1811041726 |
| PAC ID by PECOS | 2163741513 |
| Professional Enrollment ID | I20150506000842 |
| Full Name | Angela M Illuzzi Russo |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Address |
920 Main St Suite 1 Hackensack NJ 07601-5013 |
| Phone Number | 2013438297 |
| Gender | F |
| Medical School | NEW YORK UNIVERSITY COLLEGE OF DENTISTRY |
| Graduation Year | 2006 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9739283763 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 920 Main St, Suite 1, Hackensack, NJ 07601-5013 | 2013438297 | BERGEN ORAL SURGERY GROUP PA |
| 250 Old Hook Rd, Suite 202, Westwood, NJ 07675-3123 | 2016645656 | BERGEN ORAL SURGERY GROUP PA |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Moss | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Vincent P Novelli | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Jason Diamond | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Chang H Han | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Mark Park | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 250 Old Hook Rd, Suite 202, Westwood, NJ 07675-3123 |
| Street Address |
920 MAIN ST SUITE 1 |
| City | HACKENSACK |
| State | NJ |
| Zip | 07601-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Moss | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Jason Diamond | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Mark Berman | Orthopedic Surgery | 920 Main St, Suite 2, Hackensack, NJ 07601-5013 | |
| Anna Hyun Lee | Chiropractic | 920 Main St, Suite 5, Hackensack, NJ 07601-5013 | |
| Dennis M Lynch | Chiropractic | 920 Main St, Sweet Home, OR 97386-1512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Kimberly Rozzelle | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| Robert Mateo | Nurse Practitioner | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 | |
| Geraldine Charles | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| David J Bikoff | Plastic and Reconstructive Surgery | 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038 | |
| John J Vaccaro | Plastic and Reconstructive Surgery | 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038 | |
| Arie Rosen | Otolaryngology | 2 S Summit Ave, Hackensack, NJ 07601-1117 | |
| Jeffrey Schlesinger | Chiropractic | 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214 | |
| Rey I Pella | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Julie Y An | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Joseph C Yu | Cardiovascular Disease (cardiology) | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Find all physicians in zip 07601 | |||
| City | HACKENSACK |
| Zip Code | 07601 |
| Specialty | ORAL SURGERY |
| City + Specialty | HACKENSACK + ORAL SURGERY |
Please comment or provide details below to improve the information on Angela M Illuzzi Russo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.