MRS. LISA MARIA RUSSO RD
NPI 1831245687
Dietitian, Registered - Nutrition, Pediatric in Elizabeth, NJ

Q: What is Lisa Russo's NPI number?

The NPI number for Lisa Russo is 1831245687. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Ms. Lisa Maria Baptista Rd.

Q: What is Lisa Russo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Russo was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 26, 2007

216 PALMER ST, ELIZABETH, NJ 07202(908) 353-0500 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Lisa Maria Russo Rd NPPES

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

MRS. LISA MARIA RUSSO RD (NPI 1831245687) is an individual nutrition, pediatric provider in Elizabeth, New Jersey, licensed in New Jersey (952153) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1831245687

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameMRS. LISA MARIA RUSSOCredential: RD

Location Address216 PALMER STElizabeth, NJ 07202-5900

Mailing Address10 Church Towers, Apt 2nHoboken, NJ 07030 · (973) 460-0616

Phone(908) 353-0500

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1831245687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

License✔ Licensed in NJ · 952153

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

216 PALMER ST, Elizabeth, NJ 07202

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Other Names 1

Former Name (1)Ms. Lisa Maria Baptista Rd

Other Identifiers 7

Other3980567NJ · Aetna Us Healthcare

Medicare PIN091166NJ

Other223452311NJ · Horizon Blue Cross

OtherP3595969NJ · Oxford

Other11452348NJ · Council Of Affordable Qua

Other223452311NJ · Great West

Other0251854103NJ · United Health Care

Other Providers at the Same Location NPPES 7

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

PRISCILLA MARANON ANP

Nurse Practitioner (Family)