| Heather Russell, RD | |
|
703 Main St, Paterson, NJ 07503-2621 | |
| (973) 754-2526 | |
| (973) 754-3792 |
| Full Name | Heather Russell |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 703 Main St, Paterson, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437230133 | NPI | - | NPPES |
| 7654551 | Other | AETNA | |
| P3664391 | Other | OXFORD HEALTH PLANS | |
| P3664398 | Other | OXFORD HEALTH PLANS | |
| 2612526 | Other | UNITEDHEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 918318 (New Jersey) | Primary |
| Provider Name | St Josephs Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
| Provider Name | St Josephs Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Russell, RD 202 Lexington Ave, Maplewood, NJ 07040-3511 Ph: (973) 945-4029 | Heather Russell, RD 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2526 |
Jaime L. Pula, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Main Street, Paterson, NJ 07503 Phone: 973-754-2052 Fax: 975-754-2129 | |
Nikole Voigt, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Rdn Nutrition Counseling Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 E 22nd St, Paterson, NJ 07513 Phone: 973-356-5075 | |
Ivette Lebron, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Getty Ave, 2nd Floor, Paterson, NJ 07503 Phone: 973-754-2526 Fax: 973-754-2628 | |
Kristina Scott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Julisa Peralta, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Vernon Ave, Paterson, NJ 07503 Phone: 973-653-1275 Fax: 973-653-1275 |