Active NPIIndividual providerSole proprietor

Dr. Michael C Russonella, DO

Orthopaedic Surgery in Clifton, New Jersey

NPI Number1255542486
Practice location
6 Brighton Road Ste 101, North Jersey Orthopaedic & Sports Medicine Institute Ll, Clifton, NJ 07012-1647
Fax
973-340-1958
Last updated
February 2, 2016

Michael C Russonella is an Orthopaedic Surgery based in Clifton, NJ. Michael C Russonella practices in Clifton, NJ and has the professional credentials of DO. The NPI Number for Michael C Russonella is 1255542486 and holds a License No. 239683-1 (NY). The current practice location address for Michael C Russonella is 6 Brighton Road Ste 101, North Jersey Orthopaedic & Sports Medicine Institute Ll, Clifton, NJ 07012-1647 and can be reached out via phone at 973-340-1940 and via fax at 973-340-1958.

Provider Profile Details

NPI Number
1255542486
Provider Name
Michael C Russonella
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6 Brighton Road Ste 101, North Jersey Orthopaedic & Sports Medicine Institute Ll, Clifton, NJ 07012-1647
Phone Number
973-340-1940
Fax Number
973-340-1958
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2007
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Brighton Road Ste 101
North Jersey Orthopaedic & Sports Medicine Institute Ll
Clifton, NJ 07012-1647
Zip
07012-1647
Phone Number
973-340-1940
Fax Number
973-340-1958
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
6 Brighton Road Ste 101
North Jersey Orthopaedic & Sports Medicine Institute Ll
Clifton, NJ 07012-1647
City
Clifton
State
NJ
Zip
07012-1647
Phone Number
973-340-1940
Fax Number
973-340-1958

License Information

License Number (1)
239683-1
License State (1)
NY
License Number (2)
25MB08615500
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael C Russonella, DO?

The NPI number of Dr. Michael C Russonella, DO is 1255542486. It was assigned on May 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael C Russonella, DO?

Dr. Michael C Russonella, DO is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NY under license number 239683-1.

Where does Dr. Michael C Russonella, DO practice?

The practice location is 6 Brighton Road Ste 101, North Jersey Orthopaedic & Sports Medicine Institute Ll, Clifton, NJ 07012-1647. The office can be reached at 973-340-1940 (phone) or 973-340-1958 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255542486 directly on the NPPES registry website.

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