Individual
THOMAS RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 EISENHOWER DR, SUITE 200, PARAMUS, NJ 07652-1401
(201) 843-2800
(973) 939-0273
Mailing address
80 EISENHOWER DR, PARAMUS, NJ 07652-1401
(201) 843-2800
(973) 939-0273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05631000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000036694
GHI HMO #
NJ
01
—
0200768
GHI PPO #
NJ
01
—
0507329000
AMERIHEALTH #
NJ
01
—
0K7555
HEALTHNET #
NJ
01
—
114590
AETNA HMO
NJ
01
—
160026487
RAILROAD MCR #
NJ
01
—
36K741
EMPIRE BCBS #
NJ
01
—
4245409
AETNA PPO
NJ
01
—
BP240
OXFORD #
NJ
Enumeration date
10/10/2005
Last updated
04/25/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us