Dr. Michael S Russo, DPT
Physical Therapist in Hoboken, New Jersey
1619948973- Practice location
- 10 Church Towers, Hoboken, NJ 07030
- Phone
- 201-401-9687
- Fax
- —
- Last updated
- August 5, 2020
Michael S. Russo is a Physical Therapist based in Hoboken, NJ. Michael S. Russo practices in Hoboken, NJ and has the professional credentials of DPT. The NPI Number for Michael S. Russo is 1619948973 and holds a License No. 40QA00991200 (NJ). The current practice location address for Michael S. Russo is 10 Church Towers, Hoboken, NJ 07030 and can be reached out via phone at 201-401-9687.
Provider Profile Details
- NPI Number
- 1619948973
- Provider Name
- Michael S. Russo
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Church Towers, Hoboken, NJ 07030
- Phone Number
- 201-401-9687
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 26, 2006
- Last Update Date
- August 5, 2020
- Certification Date
- August 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Church Towers
Hoboken, NJ 07030 - City
- Hoboken
- State
- New Jersey
- Zip
- 07030
- Phone Number
- 201-401-9687
Provider Business Mailing Address Details
- Address
- 864 Broadway
Bayonne, NJ 07002-3054 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3054
- Phone Number
- 201-339-1109
- Fax Number
- 908-353-1505
License Information
- License Number
- 40QA00991200
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 S Russo, DPT?
The NPI number of Dr. Michael S Russo, DPT is 1619948973. It was assigned on January 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael S Russo, DPT?
Dr. Michael S Russo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00991200.
Where does Dr. Michael S Russo, DPT practice?
The practice location is 10 Church Towers, Hoboken, NJ 07030. The office can be reached at 201-401-9687 (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 1619948973 directly on the NPPES registry website.