What is Jared Russom's NPI number?

Jared Russom's National Provider Identifier (NPI) is 1396344743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jared Russom's specialty?

Jared Russom is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Jared Russom located?

Jared Russom's practice location on file with NPPES is 13 Brookview Ave., Delmar, NY 12054.

What is Jared Russom's phone number?

The practice phone number listed in the NPPES registry for Jared Russom is (518) 414-2927.

Is Jared Russom's NPI active?

Yes — Jared Russom's NPI (1396344743) is active in the NPPES registry as of the last update on 2025-09-11.

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Jared Russom

NPI 1396344743 · Athletic Trainer · Delmar, NY

Jared Russom is a Athletic Trainer provider in Delmar, NY (NPI 1396344743).

Provider details

NPI number: 1396344743
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Athletic TrainerPrimary2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

13 Brookview Ave.

Delmar, NY 12054

Phone: (518) 414-2927

Street-level locationGet directions

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Mailing address