RALPH E. RUSSO, III M.D. – NPI #1376510594
Nuclear Medicine

A nuclear medicine physician who specializes in nuclear cardiology.

Health Care Provider Taxonomy Code for Nuclear Medicine

RALPH RUSSO, III is a physician located in MOORESTOWN, NJ. NPPES has assigned the NPI number 1376510594 to RALPH RUSSO, III on March 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207UN0901X from the Health Care Provider Taxonomy code set, which is classified as Nuclear Medicine, specializing in Nuclear Cardiology

The NPI profile was last updated on Oct 10, 2024. 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 RALPH RUSSO, III below.

NPI Profile for
RALPH E. RUSSO, III

NPI Number
1376510594
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RALPH E. RUSSO, III
Credentials
M.D.
Primary location
728 MARNE HWY STE 200A
MOORESTOWN, NJ 08057-3128
Phone: (856) 291-8855 Fax: (856) 291-5526
2 Other location(s):
1 Sheffield Dr Ste 201
Columbus, NJ 08022-9506
Phone: (856) 291-8855
Fax: (609) 444-5526
128 State Highway 70
Suite 1 B
Medford, NJ 08055
Phone: (856) 291-8855
Fax: (609) 444-5526
Mailing address
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone: (856) 355-0340 Fax: (856) 355-0330
Sole Proprietor
No
Updated
Certification Date
Oct 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RALPH RUSSO, III

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
otherAETNA0004199975
otherHEALTHNETF01230
otherOXFORDBNS045
medicaidNJ4562704
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
207UN0901X
- Nuclear Medicine / Nuclear Cardiology (Primary)		 NJ 25MA05172300
207RC0000X
- Internal Medicine / Cardiovascular Disease		 NJ 25MA05172300

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1 SHEFFIELD DR STE 201,
COLUMBUS, NJ 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
128 STATE HIGHWAY 70,
MEDFORD, NJ 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
401 YOUNG AVE STE 275A,
MOORESTOWN, NJ 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
6500 K JOHNSON BLVD STE 100C,
BORDENTOWN, NJ 77025-1669

Additional Information

Education
RUTGERS NEW JERSEY MEDICAL SCHOOL - Graduated 1985
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RALPH RUSSO, III is affiliated with the following medical group(s):
  • HOSPITAL
    • VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY
      175 MADISON AVE
      MOUNT HOLLY, NJ 08060
    • VIRTUA OUR LADY OF LOURDES HOSPITAL
      1600 HADDON AVENUE
      CAMDEN, NJ 08103
    • VIRTUA WEST JERSEY HOSPITALS
      100 BOWMAN DRIVE
      VOORHEES, NJ 08043
    • VIRTUA WILLINGBORO HOSPITAL
      218A SUNSET ROAD
      WILLINGBORO, NJ 08046

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.