Roseann M Russo (NPI# 1043219769, PAC ID# 6103857776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043219769 |
| PAC ID by PECOS | 6103857776 |
| Professional Enrollment ID | I20050823000878 |
| Full Name | Roseann M Russo |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
1165 Northern Boulevard Manhasset NY 11030-3039 |
| Phone Number | 5166086820 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 1165 Northern Boulevard, Manhasset, NY 11030-3039 | 5166086820 | NORTH SHORE-LIJ MEDICAL PC |
| 300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE-LIJ MEDICAL PC | |
| 300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE-LIJ MEDICAL PC |
| 330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE-LIJ MEDICAL PC |
| 350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Street Address |
1165 NORTHERN BOULEVARD |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph D Scott | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Norman Galanti | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Michael A Saul | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| David E Brenner | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Hillary S Kushner | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Maya Moorley | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Paul A Hamlin | Internal Medicine | North Shore-lij Medical PC | 1165 Northern Boulevard, Manhasset, NY 11030-3039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MANHASSET + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Roseann M 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.