What is Domenick Russo's NPI number?

Domenick Russo's National Provider Identifier (NPI) is 1871424309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Domenick Russo's specialty?

Domenick Russo is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Domenick Russo located?

Domenick Russo's practice location on file with NPPES is 101 Nicolls Rd, Stony Brook, NY 11794-0001.

What is Domenick Russo's phone number?

The practice phone number listed in the NPPES registry for Domenick Russo is (631) 774-3491.

Is Domenick Russo's NPI active?

Yes — Domenick Russo's NPI (1871424309) is active in the NPPES registry as of the last update on 2026-05-26.

IndividualActive

Domenick Russo

NPI 1871424309 · Registered Nurse · Stony Brook, NY

Domenick Russo is a Registered Nurse provider in Stony Brook, NY (NPI 1871424309).

Provider details

NPI number: 1871424309
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: 813157 (NY)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 813157 (NY)
Nursing Service Providers

Profile Score

Established profile(52/100 index)

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

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% 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

101 Nicolls Rd

Stony Brook, NY 11794-0001

Phone: (631) 774-3491

Approximate (ZIP-level) locationGet directions

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Mailing address