DR. FRANK J RUSSO (NPI# 1417092081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417092081 |
| Entity Type | Individual |
| Full Name | DR. FRANK J RUSSO |
| Credential | DMD |
| Practice Address |
87 Berdan Ave Wayne NJ 07470-3210 |
| Practice Telephone | 9736331200 |
| Practice Fax Number | 9736335282 |
| Mailing Telephone | 9736331200 |
| Mailing Fax Number | 9736335282 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12367 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543862 | Frank M. Russo | Anesthesiology | 5352 Linton Blvd., Delray Beach, FL 33484-6514 | 2006-01-23 |
| 1538161716 | Frank D Russo | Podiatrist | 5 Colony Dr, West Sayville, NY 11796-1610 | 2005-06-01 |
| 1225369648 | Frank David Russo | Internal Medicine | 2301 Erwin Rd, Dumc 3845, Room 7411a, Durham, NC 27705-4699 | 2010-01-25 |
| 1437305786 | Frank Louis Russo IIi | Nurse Practitioner | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2008-08-18 |
| 1669537155 | Frank Russo | Physical Medicine & Rehabilitation | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2006-12-26 |
| 1285606962 | Frank H Russo | Podiatrist | 200 E Willow Ave, Wheaton, IL 60187-5463 | 2006-02-06 |
| Street Address |
87 BERDAN AVE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609950906 | Lisa Melsky | Internal Medicine | 87 Berdan Ave, Suite 2b, Wayne, NJ 07470-3210 | 2006-10-24 |
| 1972052512 | Novalab Corp | Clinical Medical Laboratory | 87 Berdan Ave, Suite #4, Wayne, NJ 07470-3210 | 2016-09-23 |
| 1417340068 | Xbody Health & Wellness Pa | Internal Medicine | 87 Berdan Ave, Ste 4, Wayne, NJ 07470-3210 | 2015-03-06 |
| 1235539438 | Tatiana Sharahy Md Inc | Internal Medicine | 87 Berdan Ave, Suite 2b, Wayne, NJ 07470-3210 | 2014-08-26 |
| 1891122792 | Passaic Medical Group Pa | Anesthesiology | 87 Berdan Ave, 2b, Wayne, NJ 07470-3210 | 2013-10-09 |
| 1740599042 | Dwf Imaging LLC | Radiology | 87 Berdan Ave, Suite 2b, Wayne, NJ 07470-3210 | 2010-10-04 |
| 1699986711 | Neurology and Pain Management, P.a. | Specialist | 87 Berdan Ave, Suite B2, Wayne, NJ 07470-3210 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316209570 | Lauren Price | Dentist | 31w742 Percheron Ln # 1288, Wayne, IL 60184-2338 | 2012-06-13 |
| 1215239298 | Yan Li | Dentist | 1211 Black Oak Ridge Road, Wayne, NJ 07470 | 2010-11-24 |
| 1215246301 | Shadi Vaghei | Dentist | 150 Hinchman Ave Ste 6, Wayne, NJ 07470-2360 | 2010-10-06 |
| 1326293119 | Joseph Francis Pierri | Dentist | 1722 Hamburg Tpke, Wayne, NJ 07470-4023 | 2008-11-21 |
| 1811145444 | Shaija Aziz | Dentist | 3208 Schindler Ln, Wayne, NJ 07470-1907 | 2008-09-08 |
| 1275798639 | Aesthetic Smiles of Wayne Professional Association | Dentist | 896 Valley Road, Wayne, NJ 07470-2971 | 2008-07-25 |
| 1972779718 | Jahnavi R Dave | Dentist | 84 Bunker Hill Ct, Wayne, PA 19087-5830 | 2008-05-01 |
| 1881865756 | John Robert Kroell | Dentist | 32232 Michigan Ave, Wayne, MI 48184-1421 | 2008-03-18 |
| 1861602310 | Clark D Hung | Dentist | 1100 Wembley Dr, Wayne, PA 19087-1604 | 2007-05-23 |
| 1639398316 | Drs. Maldonado and Ambrosio | Dentist | 911 Valley Rd, Wayne, NJ 07470-2973 | 2007-04-24 |
| Find all providers in WAYNE | ||||
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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.