SANDRA L. RUSSO DO – NPI #1467404251
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SANDRA RUSSO is a physician located in WOODBINE, NJ. NPPES has assigned the NPI number 1467404251 to SANDRA RUSSO on May 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Sep 15, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANDRA RUSSO below.

NPI Profile for
SANDRA L. RUSSO

NPI Number
1467404251
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SANDRA L. RUSSO
Credentials
DO
Primary location
713 DEHIRSCH AVE
WOODBINE, NJ 08270
Phone: (609) 861-4241 Fax: (609) 861-1071
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for SANDRA RUSSO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ7011008
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NJ 25MB06190900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.