DR. ANDREA HOBOKEN RUSSO (NPI# 1922311307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922311307 |
| Entity Type | Individual |
| Full Name | DR. ANDREA HOBOKEN RUSSO |
| Other Name | ANDREA LYNN HOBOKEN |
| Credential | M.D. |
| Practice Address |
51-53 Kenosia Ave Danbury CT 06810-2304 |
| Practice Telephone | 2037480330 |
| Practice Fax Number | 2037970255 |
| Mailing Telephone | 2037480330 |
| Mailing Fax Number | 2037970255 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 177539181 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 51-53 Kenosia Ave, Danbury, CT 068102304 | 2037480330 | 2037970255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083190854 | Andrea Russo | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-07-16 |
| 1336652056 | Andrea Russo | Audiologist | 1421 3rd Ave Apt 4, New York, NY 10028-1933 | 2017-11-16 |
| 1114442001 | Andrea Russo | Counselor | 286 S Main St Ste 200, Alpharetta, GA 30009-1943 | 2017-08-11 |
| 1093244303 | Andrea Russo | Peer Specialist | 5257 Ne Martin Luther King Jr Ste 201, Portland, OR 97211-3283 | 2017-06-08 |
| 1073927570 | Andrea Russo | Pharmacist | 933 Pleasant St, Fall River, MA 02723-1000 | 2014-06-12 |
| 1003043548 | Andrea L Russo | Radiology | 2014 Washington St, Newton, MA 02462-1607 | 2009-06-11 |
| 1841424777 | Andrea Russo | Social Worker | 567 Pleasant St, Brockton, MA 02301-2507 | 2009-05-06 |
| 1396777694 | Andrea M Russo | Internal Medicine | 1 Cooper Plz, 3 Dorrance, Camden, NJ 08103-1461 | 2006-07-07 |
| Street Address |
51-53 KENOSIA AVE |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164736 | Jeffrey Gorelick | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1437548096 | Ums Lithotripsy Services of Danbury, LLC | Clinic/Center | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | 2015-01-20 |
| 1134368202 | Urology Associates of Danbury | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2009-02-13 |
| 1447378401 | John James Bruno II | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2007-03-27 |
| 1205860756 | Diane St. Pierre | Physician Assistant | 51-53 Kenosia Ave, Danbury, CT 03681 | 2006-07-10 |
| 1033150081 | Michael Baroody | Surgery | 51-53 Kenosia Ave, Suite 201, Danbury, CT 06810-2304 | 2006-06-09 |
| 1932107034 | Urology Associates of Danbury PC | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-2301 | 2005-07-12 |
| 1245235449 | Edward M Beck | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1316942519 | Stanford R Broder | Urology | 51-53 Kenosia Ave, Danbury, CT 06810 | 2005-06-15 |
| 1114922309 | William T. Hennessy | Urology | 51-53 Kenosia Ave, Danbury, CT 06810-4015 | 2005-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922426527 | Candice V. Lovato | Obstetrics & Gynecology | 90 Locust Ave Ste 1, Danbury, CT 06810 | 2014-04-01 |
| 1609059732 | Mishal Shoaib Khan | Obstetrics & Gynecology | 27 Hospital Avenue, Suite 303, Danbury, CT 06810 | 2007-12-12 |
| 1962505040 | Kevin J Mitchell | Obstetrics & Gynecology | 103 Newton Rd, Danbury, CT 06810 | 2006-09-06 |
| 1245333269 | Pamela J Swift | Obstetrics & Gynecology | 103 Newtown Road, Danbury, CT 06810 | 2006-09-06 |
| 1609978774 | Laura P Devita | Obstetrics & Gynecology | 90 Locust Avenue, Danbury, CT 06810 | 2006-09-01 |
| 1740397348 | Jose Henriquez | Obstetrics & Gynecology | 103 Newtown Rd, Candlewood Center for Women's Health, Danbury, CT 06810-4143 | 2006-08-23 |
| 1194742080 | Yelena Paranyuk | Obstetrics & Gynecology | 90 Locust Ave, Danbury, CT 06810-6034 | 2006-07-16 |
| 1740639913 | Ccwc Professional Practice Group | Obstetrics & Gynecology | 94 Locust Ave, Danbury, CT 06810-6032 | 2016-06-08 |
| 1902289119 | Jorge Luis Casquero Leon | Obstetrics & Gynecology | 103 Newtown Rd, Danbury, CT 06810-4195 | 2015-07-07 |
| 1497069223 | Marjan Hedayatzadeh | Obstetrics & Gynecology | 90 Locust Ave, Danbury, CT 06810-6034 | 2010-08-04 |
| Find all providers in DANBURY | ||||
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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.