JENNIFER RUSSO (NPI# 1699032128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699032128 |
| Entity Type | Individual |
| Full Name | JENNIFER RUSSO |
| Other Name | JENNIFER ABORN |
| Credential | M.D. |
| Practice Address |
166 Central St Lowell MA 01852 |
| Mailing Address |
37 Friend St Lynn MA 01902-3068 |
| Practice Telephone | 9785137300 |
| Practice Fax Number | 7812685070 |
| Mailing Telephone | 9785137300 |
| Mailing Fax Number | 7812685070 |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 261536 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Essex Center Dr, Peabody, MA 019602902 | 9785322800 | 9789774491 |
| 37 Friend St, Lynn, MA 01902 | 9785137286 | 7812685070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407200413 | Jennifer Russo | Health Educator | 83 Kind Ave, Henderson, NV 89002-3364 | 2016-04-15 |
| 1073975934 | Jennifer Lynn Russo | Counselor | 13 Stillwater Rd, Blairstown, NJ 07825-9554 | 2016-03-22 |
| 1700062577 | Jennifer F Russo | Physical Therapist | 967 Newbridge Rd, North Bellmore, NY 11710-1620 | 2008-01-11 |
| 1740635044 | Jennifer Filkins Russo | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2016-04-25 |
| 1851765937 | Jennifer Russo | Speech-Language Pathologist | 12 Lindsey Cir, Old Bridge, NJ 08857-2678 | 2015-11-30 |
| 1386040079 | Jennifer Russo | Dietitian, Registered | 50 E North St, Buffalo, NY 14203-1002 | 2014-11-07 |
| 1053644930 | Jennifer Rae Russo | Physical Therapist | 1721 Allens Ln Ste 101, Wilmington, NC 28403-3662 | 2009-09-10 |
| 1932397759 | Jennifer M. Russo | Speech-Language Pathologist | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-10-05 |
| 1760528566 | Jennifer Pert Russo | Speech-Language Pathologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2007-01-29 |
| Street Address |
166 CENTRAL ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407042724 | June Costa | Social Worker | 166 Central St, Lowell, MA 01852-1910 | 2007-09-20 |
| 1215560990 | Sakhom Sue Huot | Registered Nurse | 166 Central St, Lowell, MA 01852-1910 | 2020-02-20 |
| 1689213480 | Kelley Marie Hult | Registered Nurse | 166 Central St, Lowell, MA 01852-1910 | 2019-12-27 |
| 1811534381 | Michael Stephen Vogler | Registered Nurse | 166 Central St, Lowell, MA 01852-1910 | 2019-12-04 |
| 1629614193 | Peris Mbaria | Registered Nurse | 166 Central St, Lowell, MA 01852-1910 | 2019-11-20 |
| 1801350111 | Danielle Keene | Occupational Therapy Assistant | 166 Central St, Lowell, MA 01852-1910 | 2019-01-31 |
| 1811451115 | Celestina Rosario | Occupational Therapist | 166 Central St, Lowell, MA 01852-1910 | 2019-01-31 |
| 1548724859 | Nancy Brown | Physical Therapy Assistant | 166 Central St, Lowell, MA 01852-1910 | 2019-01-31 |
| 1619449816 | Najwa Ali Hassan | Nurse Practitioner | 166 Central St, Lowell, MA 01852-1910 | 2018-12-28 |
| 1922522234 | Daniel Kamau Mwangi | Registered Nurse | 166 Central St, Lowell, MA 01850 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006908 | Joshi Medical Services, PC | Internal Medicine | 16 Pine St Ste 4, Lowell, MA 01851-3100 | 2019-04-10 |
| 1588181259 | Katelyn Elizabeth Burke | Internal Medicine | 33 Bartlett St Ste 504, Lowell, MA 01852-1319 | 2017-08-24 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1356642862 | Royal Care Medical Center Inc | Internal Medicine | 151 Warren St, Lowell, MA 01852-2647 | 2010-11-15 |
| 1710163837 | Mohammad Samir Al-kharrat | Internal Medicine | 17648 Morse St, Lowell, IN 46356-1420 | 2008-01-18 |
| 1467647024 | Nafees F Khusro | Internal Medicine | 1230 Bridge Street, Medical Center of Greater Lowell, Lowell, MA 02026-6838 | 2007-09-07 |
| 1932232857 | Seema Gupta | Internal Medicine | 12 Wood St, Lowell, MA 01851-1532 | 2007-03-13 |
| 1386787844 | Ilene Sandra Cohen | Internal Medicine | 55 Technology Dr, Lowell, MA 01851-5203 | 2007-02-15 |
| 1811905961 | Ajay Nanavati | Internal Medicine | 275 Varnum Ave Ste 201, Riverside Medical Group, Lowell, MA 01854 | 2006-08-04 |
| 1053346692 | Mill City Medical Group Ltd | Internal Medicine | 45 Palmer Street, Lowell, MA 01852 | 2006-07-12 |
| Find all providers in LOWELL | ||||
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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.