Active NPIIndividual provider

Jennifer F Russo, MD

Physical Medicine & Rehabilitation, Brain Injury Medicine in Wallingford, Connecticut

NPI Number1740635044
Practice location
50 Gaylord Farm RD, Wallingford, CT 06492-2899
Fax
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Last updated
September 24, 2026

Jennifer Filkins Russo is a Physical Medicine & Rehabilitation, Brain Injury Medicine based in Wallingford, CT. Jennifer Filkins Russo practices in Wallingford, CT and has the professional credentials of MD. The NPI Number for Jennifer Filkins Russo is 1740635044 and holds a License No. 25MA11123800 (NJ). The current practice location address for Jennifer Filkins Russo is 50 Gaylord Farm RD, Wallingford, CT 06492-2899 and can be reached out via phone at 203-284-2800.

Provider Profile Details

NPI Number
1740635044
Provider Name
Jennifer Filkins Russo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
50 Gaylord Farm RD, Wallingford, CT 06492-2899
Phone Number
203-284-2800
Sole Proprietor
No
Provider Enumeration Date
April 25, 2016
Last Update Date
September 24, 2026
Certification Date
September 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Gaylord Farm RD
Wallingford, CT 06492-2899
Zip
06492-2899
Phone Number
203-284-2800
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
3 Beau St
Norwalk, CT 06850-2411
City
Norwalk
State
CT
Zip
06850-2411
Phone Number
310-592-4845

License Information

License Number (1)
25MA11123800
License State (1)
NJ
License Number (2)
84113
License State (2)
CT

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 Jennifer F Russo, MD?

The NPI number of Jennifer F Russo, MD is 1740635044. It was assigned on April 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Jennifer F Russo, MD?

Jennifer F Russo, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Brain Injury Medicine (code 2081P0301X), licensed in NJ under license number 25MA11123800.

Where does Jennifer F Russo, MD practice?

The practice location is 50 Gaylord Farm RD, Wallingford, CT 06492-2899. The office can be reached at 203-284-2800 (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 1740635044 directly on the NPPES registry website.

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