SANDRA L RUSSO DO
NPI 1467404251
Family Medicine in Woodbine, NJ

Active since May 17, 2006
713 DEHIRSCH AVE, WOODBINE, NJ 08270(609) 861-4241(609) 861-1071 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra L Russo Do NPPES

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

SANDRA L RUSSO DO (NPI 1467404251) is an individual family medicine provider in Woodbine, New Jersey, licensed in New Jersey (25MB06190900) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1467404251
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA L RUSSOCredential: DO
Location Address713 DEHIRSCH AVEWoodbine, NJ 08270
Mailing Address713 Dehirsch AveWoodbine, NJ 08270 · (609) 861-4241 · Fax (609) 861-1071
Fax(609) 861-1071
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 15, 2010
NPI 1467404251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MB06190900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
713 DEHIRSCH AVE, Woodbine, NJ 08270

Other Identifiers 3

Medicare ID-Type Unspecified731353NJ
Medicaid7011008NJ
Medicare UPIN607587

Other Providers at the Same Location NPPES

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

Family Medicine
713 DEHIRSCH AVE
WOODBINE, NJ 08270

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 Sandra Russo's NPI number?

The NPI number for Sandra Russo is 1467404251. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Sandra Russo located?

Sandra Russo practices at 713 Dehirsch Ave, Woodbine, NJ 08270. The listed phone number is (609) 861-4241.

What is Sandra Russo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sandra Russo was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.