DR. ANDREW RUSSO D.O.
NPI 1417984295
Neuromusculoskeletal Medicine, Sports Medicine in Brooklyn, NY

Q: What is Andrew Russo's NPI number?

The NPI number for Andrew Russo is 1417984295. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Andrew Russo's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 27, 2006

433 77TH ST, BROOKLYN, NY 11209(718) 238-1155 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Andrew Russo D.o. NPPES

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

DR. ANDREW RUSSO D.O. (NPI 1417984295) is an individual neuromusculoskeletal medicine, sports medicine provider in Brooklyn, New York, licensed in New York (224966) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1417984295

Entity TypeIndividualMale

Primary Taxonomy204C00000X

Provider Legal NameDR. ANDREW RUSSOCredential: D.O.

Location Address433 77TH STBrooklyn, NY 11209-3205

Mailing Address433 77th StBrooklyn, NY 11209-3205 · (718) 238-1155

Phone(718) 238-1155

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417984295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in NY · 224966

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

433 77TH ST, Brooklyn, NY 11209

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH83156NY

Medicare ID-Type Unspecified62V422NY

Other Providers at the Same Location NPPES

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

PROGRESSIVE PODIATRY, PLLC

Podiatrist (Foot & Ankle Surgery)

433 77TH ST
BROOKLYN, NY 11209

Kings County (718) 251-0200

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 Andrew Russo's NPI number?

The NPI number for Andrew Russo is 1417984295. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Andrew Russo located?

Andrew Russo practices at 433 77th St, Brooklyn, NY 11209. The listed phone number is (718) 238-1155.

What is Andrew Russo's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Andrew Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.