Active NPIIndividual provider

Joseph M Russo Jr., PA

Physician Assistant in Springfield, Vermont

NPI Number1366322950
Practice location
25 Ridgewood RD, Springfield, VT 05156-3050
Fax
—
Last updated
October 24, 2025

Joseph Michael Russo is a Physician Assistant based in Springfield, VT. Joseph Michael Russo practices in Springfield, VT and has the professional credentials of PA. The NPI Number for Joseph Michael Russo is 1366322950. The current practice location address for Joseph Michael Russo is 25 Ridgewood RD, Springfield, VT 05156-3050 and can be reached out via phone at 802-885-2151.

Provider Profile Details

NPI Number
1366322950
Provider Name
Joseph Michael Russo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
25 Ridgewood RD, Springfield, VT 05156-3050
Phone Number
802-885-2151
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 4, 2025
Last Update Date
October 24, 2025
Certification Date
September 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Ridgewood RD
Springfield, VT 05156-3050
State
Vermont
Zip
05156-3050
Phone Number
802-885-2151
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
Po Box 203
Great Meadows, NJ 07838-0203
City
Great Meadows
State
NJ
Zip
07838-0203

License Information

License State
VT
Taxonomy
Physician Assistant · 363A00000X · 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 Joseph M Russo Jr., PA?

The NPI number of Joseph M Russo Jr., PA is 1366322950. It was assigned on September 4, 2025 and is currently active in the NPPES registry.

What is the specialty of Joseph M Russo Jr., PA?

Joseph M Russo Jr., PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Joseph M Russo Jr., PA practice?

The practice location is 25 Ridgewood RD, Springfield, VT 05156-3050. The office can be reached at 802-885-2151 (phone).

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 1366322950 directly on the NPPES registry website.

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