Active NPIIndividual providerSole proprietor

Ms. Jennifer Russo

Speech-Language Pathologist, in Old Bridge, New Jersey

NPI Number1851765937
Practice location
12 Lindsey Cir, Old Bridge, NJ 08857-2678
Fax
—
Last updated
November 30, 2015

Jennifer Russo is a Speech-Language Pathologist, based in Old Bridge, NJ. Jennifer Russo practices in Old Bridge, NJ. The NPI Number for Jennifer Russo is 1851765937 and holds a License No. 41YS00779900 (NJ). The current practice location address for Jennifer Russo is 12 Lindsey Cir, Old Bridge, NJ 08857-2678 and can be reached out via phone at 732-757-9661.

Provider Profile Details

NPI Number
1851765937
Provider Name
Jennifer Russo
Provider Entity Type
Individual
Gender
Female
Address
12 Lindsey Cir, Old Bridge, NJ 08857-2678
Phone Number
732-757-9661
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2015
Last Update Date
November 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Lindsey Cir
Old Bridge, NJ 08857-2678
Zip
08857-2678
Phone Number
732-757-9661
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
12 Lindsey Cir
Old Bridge, NJ 08857-2678
City
Old Bridge
State
NJ
Zip
08857-2678
Phone Number
732-757-9661

License Information

License Number
41YS00779900
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · 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 Ms. Jennifer Russo?

The NPI number of Ms. Jennifer Russo is 1851765937. It was assigned on November 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer Russo?

Ms. Jennifer Russo is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00779900.

Where does Ms. Jennifer Russo practice?

The practice location is 12 Lindsey Cir, Old Bridge, NJ 08857-2678. The office can be reached at 732-757-9661 (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 1851765937 directly on the NPPES registry website.

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