ANDREA RUSSO
NPI 1336652056
Audiologist in New York, NY

Active since November 16, 2017
1421 3RD AVE APT 4, NEW YORK, NY 10028(212) 792-3900 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Russo NPPES

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

ANDREA RUSSO (NPI 1336652056) is an individual audiologist in New York, New York and active in the NPI registry since November 2017. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1336652056
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameANDREA RUSSO
Location Address1421 3RD AVE APT 4New York, NY 10028-1933
Mailing Address2 Greenwood LnWoodbury, NY 11797-2630
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 16, 2017
NPI 1336652056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1421 3RD AVE APT 4, New York, NY 10028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Russo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022362300
PECOS Enrollment IDI20181127000543

Other Providers at the Same Location NPPES 3

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

Audiologist
1421 3RD AVE APT 4
NEW YORK, NY 10028
Audiologist
1421 3RD AVE APT 4
NEW YORK, NY 10028
Clinic/Center (Hearing and Speech)
1421 3RD AVE APT 4
NEW YORK, NY 10028

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 Andrea Russo's NPI number?

The NPI number for Andrea Russo is 1336652056. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Andrea Russo located?

Andrea Russo practices at 1421 3rd Ave Apt 4, New York, NY 10028. The listed phone number is (212) 792-3900.

What is Andrea Russo's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Andrea Russo enrolled in Medicare?

Yes. Andrea Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Russo was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.