JACQUELINE RUSSELL (NPI# 1730742107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730742107 |
| Entity Type | Individual |
| Full Name | JACQUELINE RUSSELL |
| Credential | DO |
| Practice Address |
4487 3rd Ave Bronx NY 10457-1526 |
| Mailing Address |
334 Main St Apt 4 Saco ME 04072-1503 |
| Practice Telephone | 7189609000 |
| Mailing Telephone | 9413504110 |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 6789367 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881925741 | Jacqueline J Russell | Chiropractor | 117 W Ridge Pike, Studio 2, Conshohocken, PA 19428-1297 | 2010-01-15 |
| 1336756816 | Jacqueline Russell | Counselor | 106 Belinda Blvd Ste 100, Danville, KY 40422-3217 | 2020-09-28 |
| 1871003343 | Jacqueline A Russell | Social Worker | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-10-10 |
| 1497858070 | Jacqueline Marie Russell | Nurse Practitioner | 4011 Route 9 S, Suite 201, Rio Grande, NJ 08242-1916 | 2006-09-07 |
| Street Address |
4487 3RD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477592095 | Tony Y. Cheng | Occupational Therapist | 4487 3rd Ave, Bronx, NY 10457-1526 | 2006-06-06 |
| 1578115523 | Dolly Dua | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-07-10 |
| 1679134928 | Andrea Carolina Cortes Fernandez | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-06-27 |
| 1841851391 | Harry Sequeira Gross | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-06-25 |
| 1427619071 | Reshmin Ashraf | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-06-25 |
| 1407413354 | Anisha A Uppal | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-05-28 |
| 1194388553 | Carla Marinello | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-04-20 |
| 1841762838 | Trent Gabriel | Dentist | 4487 3rd Ave, Bronx, NY 10457-1526 | 2019-01-02 |
| 1730678343 | Eunjin Lee | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2018-05-09 |
| 1972090090 | Stacia Sloane | Student in an Organized Health Care Education/Training Program | 4487 3rd Ave, Bronx, NY 10457-1526 | 2018-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083032916 | Ny Pain Practice LLC | Neuromusculoskeletal Medicine & OMM | 4287 Katonah Ave, Bronx, NY 10470-2122 | 2014-03-28 |
| 1821183948 | Iqbal Merchant | Neuromusculoskeletal Medicine & OMM | 170 West 233rd Street, Suite 1a, Bronx, NY 10463 | 2006-10-04 |
| 1811976657 | Jerry G Kaplan | Neuromusculoskeletal Medicine & OMM | 1610 Williamsbridge Rd, Bronx, NY 10461-6202 | 2006-01-11 |
| 1902252794 | Holly Laird | Neuromusculoskeletal Medicine & OMM | 4422 3rd Ave, Bronx, NY 10457-2545 | 2016-05-11 |
| 1033523303 | Jeremy Shugar | Neuromusculoskeletal Medicine & OMM | 4422 Third Avenue, St Barnabas Hospital, Bronx, NY 10457 | 2014-06-16 |
| 1760829550 | Ruba Katrajian | Neuromusculoskeletal Medicine & OMM | 260 E 188th St, Bronx, NY 10458-5302 | 2013-06-03 |
| 1942211271 | Astor Care Medical, PC | Neuromusculoskeletal Medicine & OMM | 4377 Bronx Blvd, Suite 303, Bronx, NY 10466-1397 | 2006-08-11 |
| 1558391334 | Hugh Marshall Ettlinger | Neuromusculoskeletal Medicine & OMM | 4422 3rd Ave, Bronx, NY 10457-2545 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543287 | Todd R Waldorf Do Pllc | Neuromusculoskeletal Medicine & OMM | 555 Breed Hill Road, Crown Point, NY 12928-1731 | 2020-06-24 |
| 1174171698 | Hamptons Osteopathy P.C. | Neuromusculoskeletal Medicine & OMM | 518 Montauk Hwy # 101b, Amagansett, NY 11930-2110 | 2019-08-28 |
| 1912560210 | Mehar Ghei | Neuromusculoskeletal Medicine & OMM | St. Barnabas Hospital 4487 3rd Ave, The Bronx, NY 10457 | 2019-04-22 |
| 1811474745 | Charles B Schaap Jr. | Neuromusculoskeletal Medicine & OMM | 12 Montesi Dr, Highland Mills, NY 10930-3048 | 2018-07-24 |
| 1205377082 | Hebatallah Rashed | Neuromusculoskeletal Medicine & OMM | 450e, 63rd Street, 9b, New York, NY 10065 | 2017-03-14 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1821402074 | Bethany Prater | Neuromusculoskeletal Medicine & OMM | 32 W 96th St Apt A, New York, NY 10025 | 2014-06-16 |
| 1255743027 | Jacob Joseph Cukierski | Neuromusculoskeletal Medicine & OMM | 8604 Main St Ste 4, Williamsville, NY 14221-7463 | 2014-05-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1518308758 | Stasia Blyskal | Neuromusculoskeletal Medicine & OMM | 119 W 57th St Ste 1520, New York, NY 10019-2401 | 2013-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACQUELINE RUSSELL.
| 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.