1. Home
  2. Directory
  3. New York
  4. Howard Beach
  5. Nurse Practitioner
  6. NPI Profile

MRS. JENNY MARIE RUSSO NP
NPI 1639659170
Nurse Practitioner - Family in Howard Beach, NY

Active since August 15, 2018
9407 156TH AVE STE 200, HOWARD BEACH, NY 11414(718) 323-3773(718) 323-3777 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jenny Marie Russo Np NPPES

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

MRS. JENNY MARIE RUSSO NP (NPI 1639659170) is an individual family provider in Howard Beach, New York, licensed in New York (343495) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1639659170
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNY MARIE RUSSOCredential: NP
Location Address9407 156TH AVE STE 200Howard Beach, NY 11414-2826
Mailing Address9407 156th Ave Ste 200Howard Beach, NY 11414-2826 · (718) 323-3773 · Fax (718) 323-3777
Phone(718) 323-3773
Fax(718) 323-3777
Sole ProprietorYes
Enumeration DateAugust 15, 2018
✔ NPI 1639659170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 343495
9407 156TH AVE STE 200, Howard Beach, NY 11414
Open in Google Maps ↗

Other Names 1

Former Name (1)Jenny Marie Serven Np

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

Other Providers at the Same Location NPPES 2

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

RADHA JAGNARINE-DHAUTAL
Nurse Practitioner (Family)
9407 156TH AVE STE 200
HOWARD BEACH, NY 11414
Queens County (718) 323-3777
REGINA GERACI NP
Nurse Practitioner (Adult Health)
9407 156TH AVE STE 200
HOWARD BEACH, NY 11414
Queens County (718) 323-3773

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 Jenny Russo's NPI number?

The NPI number for Jenny Russo is 1639659170. It was assigned to this individual provider in the NPPES registry on August 15, 2018. The provider is also known as Jenny Marie Serven Np.

Where is Jenny Russo located?

Jenny Russo practices at 9407 156th Ave Ste 200, Howard Beach, NY 11414. The listed phone number is (718) 323-3773.

What is Jenny Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jenny Russo was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.