ROCCO RUSSO M.D. NPI 1174664858

NPI Information

  • NPI: 1174664858
  • Provider Name: ROCCO RUSSO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 127 MAIN ST
    HIGHLAND FALLS, NY
    ZIP 10928
  • Phone: (845) 446-4076

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NPI Details

Rocco Russo, M.D. is a family medicine in Highland Falls, NY. The provider is 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. Rocco Russo, M.D. NPI is 1174664858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

127 MAIN ST
HIGHLAND FALLS, NY
ZIP 10928-019
Phone: (845) 446-4076

The NPI 1174664858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 2/8/2007 and was last updated on 12/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine035913CONNECTICUTNo
2207Q00000XFamily Medicine259143NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174664858MEDICAIDCONNECTICUT
2010035913CTOTHERCONNECTICUTANTHEM
32V9661OTHERCONNECTICUTHEALTHNET
403421327MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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