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ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.
NPI 1114923893
Radiology - Diagnostic Radiology in Fairfield, CT

Active since June 27, 2005CLIA Certified · 2 labs
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 337-2600 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert D. Russo, M.d. & Associates Radiology, P.c. NPPES

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

ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. (NPI 1114923893) is a healthcare organization registered as a diagnostic radiology in Fairfield, Connecticut and active in the NPI registry since June 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Fairfield, and lists Judith Ortiz, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114923893
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameORTHOPAEDIC SPECIALTY GROUP, P.C.
Location Address305 BLACK ROCK TPKEFairfield, CT 06825
Mailing AddressPo Box 6128Bridgeport, CT 06606-0128 · (203) 538-5233 · Fax (203) 538-5246
Phone(203) 337-2600
Organization SubpartNo
Authorized OfficialJudith OrtizCredentialing Coordinator · (203) 538-5233
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 14, 2018
✔ NPI 1114923893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CT · 016805
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

305 BLACK ROCK TPKE, Fairfield, CT 06825
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Other Names 1

Doing Business AsRobert D. Russo, M.d. & Associates Radiology, P.c.

Secondary Practice Location 1

Location 1305 Black Rock TpkeFairfield, CT 06825 · Phone (203) 337-2600 ext. 1126

Other Identifiers 1

Medicaid004107894CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1024099

Orthopaedic Specialty Group PC · Fairfield, CT
Active · expires Apr 1, 2028
CLIA Number07D1024099
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorMegan Poletto Coo
Laboratory Phone(203) 337-2600
Laboratory LocationOrthopaedic Specialty Group PC305 Black Rock Tpke, Fairfield, CT 06825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1024100

Orthopaedic Specialty Group PC · Shelton, CT
Active · expires Apr 1, 2028
CLIA Number07D1024100
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorMegan Poletto Coo
Laboratory Phone(203) 337-2600
Laboratory LocationOrthopaedic Specialty Group PC760 River Rd, Shelton, CT 06484
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. REGINA EUM MD
Physical Medicine & Rehabilitation
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
LAURA M DELLADONNA RPT
Physical Therapist
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
FIORE F SOVIERO PA
Physician Assistant
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
RAMSEY SABA M.D.
Anesthesiology
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
NOAH CHARLESTON LAT, ATC
Specialist/Technologist (Athletic Trainer)
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
ORTHOCONNECTICUT, PLLC
Durable Medical Equipment & Medical Supplies
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
ROBERT V DAWE MD
Orthopaedic Surgery
305 BLACK ROCK TPKE, OSG
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
BRIDGET INSTRUM PA-C
Physician Assistant
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (413) 535-6199

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 Orthopaedic Specialty Group, P.C.'s NPI number?

The NPI number for Orthopaedic Specialty Group, P.C. is 1114923893. It was assigned to this organization in the NPPES registry on June 27, 2005. The provider is doing business as Robert D. Russo, M.D. & Associates Radiology, P.C..

Where is Orthopaedic Specialty Group, P.C. located?

Orthopaedic Specialty Group, P.C. is located at 305 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 337-2600.

What is Orthopaedic Specialty Group, P.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Orthopaedic Specialty Group, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Orthopaedic Specialty Group, P.C. was last updated on December 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.