MEDICARE: SALVATORE J RUSSOMANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	25MA0509100	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	250004594	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	223233709	OTHER	NJ	TAX ID
3	1119428	OTHER	NJ	HORIZON NJ HEALTH
4	1258829	OTHER	NJ	UNITED HEALTHCARE
6	0313495000	OTHER	NJ	AMERIHEALTH HMO
7	487258	OTHER	NJ	AMERIHEALTH PPO
8	11535	OTHER		AIG MVA/WORKMANS COMP
9	4306370	OTHER		AETNA HMO/PPO
10	ATS024	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1326097874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVATORE J RUSSOMANO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8627
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-0627
Country	:	US
Telephone Number	:	856-755-1616
Fax Number	:	856-755-0098

Provider Business Practice Location Address
First Line	:	3100 HINGSTON AVE STE 104
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-4409
Country	:	US
Telephone Number	:	888-985-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	11/28/2022

Similar Medicare Providers

1093837643 — VICTORIA J NEWBOLD CRNP
Practice Location Address:

3100 HINGSTON AVE STE 102
EGG HARBOR TOWNSHIP, NJ
08234-4409

Practice Phone: 888-985-2727
Practice Fax:

1982617312 — ALAN STANLEY FRIEDMAN MD
Practice Location Address:

3100 HINGSTON AVE , STE 102
EGG HARBOR TOWNSHIP, NJ
08234-4409

Practice Phone: 609-677-9729
Practice Fax: 609-652-6270

1447885116 — ADVANCED SPINE AND PAIN, LLC
Practice Location Address:

3100 HINGSTON AVE STE 104
EGG HARBOR TOWNSHIP, NJ
08234-4409

Practice Phone: 888-985-2727
Practice Fax:

1710878616 — VINCE GREG CHUY MERCADO NP
Practice Location Address:

3100 HINGSTON AVE STE 102
EGG HARBOR TOWNSHIP, NJ
08234-4409

Practice Phone: 888-985-2727
Practice Fax:

1952820060 — HEALTH EQUITY AND RECOVERY TECHNOLOGIES LLC
Practice Location Address:

51424 VAN DYKE AVE STE 23
SHELBY TOWNSHIP, MI
48316-4409

Practice Phone: 586-215-6534
Practice Fax:

1629572516 — STEENBERGH & STEENBERGH LLC
Practice Location Address:

51424 VAN DYKE AVE STE 31
SHELBY TOWNSHIP, MI
48316-4409

Practice Phone: 248-824-0014
Practice Fax:

Directions to “ SALVATORE J RUSSOMANO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.