DR. MICHAEL C RUSSONELLA (NPI# 1255542486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255542486 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL C RUSSONELLA |
| Credential | DO |
| Practice Address |
6 Brighton Road Ste 101 North Jersey Orthopaedic & Sports Medicine Institute Ll Clifton NJ 07012-1647 |
| Practice Telephone | 9733401940 |
| Practice Fax Number | 9733401958 |
| Mailing Telephone | 9733401940 |
| Mailing Fax Number | 9733401958 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 25MB08615500 | NJ | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
239683-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6 BRIGHTON ROAD STE 101 NORTH JERSEY ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE LL |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255368072 | Orthopedic & Sports Medicine of North Jersey | Orthopaedic Surgery | 1136 Clifton Avenue, Clifton, NJ 07013 | 2006-06-27 |
| 1265491369 | Robert A Schultz | Orthopaedic Surgery | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2006-03-20 |
| 1336144583 | Evangelos Megariotis | Orthopaedic Surgery | 1450 Main Ave, Clifton, NJ 07011-2145 | 2005-06-15 |
| 1508130444 | Clifton Orthopedic Associates P.a. | Orthopaedic Surgery | 1450 Main Ave, Clifton, NJ 07011-2145 | 2012-02-23 |
| 1942518063 | Jeffrey F. Lakin Md Pa | Orthopaedic Surgery | 642 Broad St, Clifton, NJ 07013-1615 | 2010-09-23 |
| 1508030974 | Howard Bok Yeon | Orthopaedic Surgery | 6 Brighton Rd, Clifton, NJ 07012-1647 | 2008-04-16 |
| 1477723641 | Passaic County Orthopaedic Associates LLC | Orthopaedic Surgery | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2008-03-04 |
| 1033239819 | North Jersey Hip and Knee Center PC | Orthopaedic Surgery | 1033 Us Highway 46, Suite A206, Clifton, NJ 07013-2473 | 2007-03-29 |
| 1982795241 | Robert Lionel Hole IIi | Orthopaedic Surgery | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2006-09-28 |
| 1922103894 | Om P Gandhi | Orthopaedic Surgery | 975 Clifton Ave, Clifton, NJ 07013-2722 | 2006-09-14 |
| Find all providers in CLIFTON | ||||
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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.