JACQUELYN RUSSO
NPI 1093252538
General Acute Care Hospital - Children in Philadelphia, PA

Active since January 23, 2017
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquelyn Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN RUSSO (NPI 1093252538) is an individual children provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016464) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1093252538
Entity TypeIndividualFemale
Primary Taxonomy282NC2000X
Provider Legal NameJACQUELYN RUSSO
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing Address2530 S Mole StPhiladelphia, PA 19145-4606 · (484) 477-9599
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJanuary 24, 2017
NPI 1093252538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care Hospital · ChildrenHospitals
Taxonomy Code282NC2000X
License Licensed in PA · SP016464
160 E ERIE AVE, Philadelphia, PA 19134

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Russo's NPI number?

The NPI number for Jacquelyn Russo is 1093252538. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Jacquelyn Russo located?

Jacquelyn Russo practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Jacquelyn Russo's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Children, with taxonomy code 282NC2000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Russo was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.