Melchiorre J Russo


Address: 128 Valley Rd, Clifton, NJ 07013-1169

Melchiorre J Russo (NPI# 1245291277, PAC ID# 3476587783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245291277
PAC ID by PECOS 3476587783
Professional Enrollment ID I20050926000252
Full Name Melchiorre J Russo
Address 128 Valley Rd
Clifton
NJ 07013-1169
Gender M
Credential MD
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PEDIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310006 ST MARY'S GENERAL HOSPITAL
310019 ST JOSEPH'S HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
128 Valley Rd, Clifton, NJ 07013-1169

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_438_overall Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 100%

Organization Information

Office Location

Street Address 128 VALLEY RD
City CLIFTON
State NJ
Zip 07013-1169

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Competitor

Search similar physicians

City CLIFTON
Zip Code 07013
Specialty INTERNAL MEDICINE
City + Specialty CLIFTON + INTERNAL MEDICINE

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Dataset Information

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.

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