Active NPIIndividual providerSole proprietor

Deanna Russo, MS, OTR/L

Occupational Therapist, Pediatrics in Scotch Plains, New Jersey

NPI Number1699212639
Practice location
551 Park Ave, Suite 4, Scotch Plains, NJ 07076-1767
Fax
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Last updated
January 29, 2017

Deanna Russo is an Occupational Therapist, Pediatrics based in Scotch Plains, NJ. Deanna Russo practices in Scotch Plains, NJ and has the professional credentials of MS, OTR/L. The NPI Number for Deanna Russo is 1699212639 and holds a License No. 46TR00764900 (NJ). The current practice location address for Deanna Russo is 551 Park Ave, Suite 4, Scotch Plains, NJ 07076-1767 and can be reached out via phone at 908-380-7715.

Provider Profile Details

NPI Number
1699212639
Provider Name
Deanna Russo
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
551 Park Ave, Suite 4, Scotch Plains, NJ 07076-1767
Phone Number
908-380-7715
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2017
Last Update Date
January 29, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
551 Park Ave
Suite 4
Scotch Plains, NJ 07076-1767
Zip
07076-1767
Phone Number
908-380-7715
Scotch Plains, NJ 07076Get directions →

Provider Business Mailing Address Details

Address
85 Fisher Dr
Hillsborough, NJ 08844-5264
City
Hillsborough
State
NJ
Zip
08844-5264
Phone Number
908-448-7069

License Information

License Number
46TR00764900
License State
NJ
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · 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 Deanna Russo, MS, OTR/L?

The NPI number of Deanna Russo, MS, OTR/L is 1699212639. It was assigned on January 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Deanna Russo, MS, OTR/L?

Deanna Russo, MS, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number 46TR00764900.

Where does Deanna Russo, MS, OTR/L practice?

The practice location is 551 Park Ave, Suite 4, Scotch Plains, NJ 07076-1767. The office can be reached at 908-380-7715 (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 1699212639 directly on the NPPES registry website.

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