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RUSSELL S BUFALINO M.D.,J.D.
NPI 1609836907
Orthotist in Old Forge, PA

Active since March 23, 2006
313 S MAIN ST, OLD FORGE, PA 18518(570) 451-1122(570) 451-0541 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell S Bufalino M.d.,j.d. NPPES

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

RUSSELL S BUFALINO M.D.,J.D. (NPI 1609836907) is an individual orthotist provider in Old Forge, Pennsylvania, licensed in Pennsylvania (MD008940E) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1609836907
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameRUSSELL S BUFALINOCredential: M.D.,J.D.
Location Address313 S MAIN STOld Forge, PA 18518-1606
Mailing Address313 S Main StOld Forge, PA 18518-1606 · (570) 451-1122 · Fax (570) 451-0541
Phone(570) 451-1122
Fax(570) 451-0541
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateMarch 18, 2010
✔ NPI 1609836907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in PA · MD008940E
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
313 S MAIN ST, Old Forge, PA 18518
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Other Identifiers 6

OtherBU108435PA · Blue Cross Blue Shield
Medicare UPIND65123
Medicaid1563559PA
Other7289228PA · Aetna
Medicare ID-Type Unspecified108435LDSPA
Other817264PA · 1st Priority

Other Providers at the Same Location NPPES

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

JEFFREY FRAIL DPT
Physical Therapist
313 S MAIN ST
OLD FORGE, PA 18518
Lackawanna County (570) 451-1122

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 Russell Bufalino's NPI number?

The NPI number for Russell Bufalino is 1609836907. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Russell Bufalino located?

Russell Bufalino practices at 313 S Main St, Old Forge, PA 18518. The listed phone number is (570) 451-1122.

What is Russell Bufalino's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Russell Bufalino was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.