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Deactivated NPI 1639491194 Deactivated / Inactive NPI Male Practitioner

Matthew R Russo , LPN

Licensed Practical Nurse • Harrison, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Russo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2010
NPI Deactivation Date July 09, 2026
Total Practice Duration ~16 Years of Practice (2010 – 2026)

Professional Overview & Biography Verified Profile Summary

Matthew Russo, LPN was a registered Licensed Practical Nurse practicing in Harrison, NY. Throughout an active medical career spanning 16 years, Matthew Russo provided care at the practice location at 41 CONGRESS ST until profile deactivation on 2026-07-09.

Practice Location & Contact Primary Location

Practice Address

41 Congress St

Harrison, NY 105282901

Telephone 9148356464

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Harrison, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Harrison, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 261151

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 09, 2026

Record deactivated on July 09, 2026

NPI Profile Active February 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2010

Registered at 41 CONGRESS ST, HARRISON, NY 105282901 (Tel: 9148356464)

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Updated Business Mailing Address February 24, 2010

Registered at 41 CONGRESS ST, HARRISON, NY 105282901 (Tel: 9148356464)

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Provider Name / Credentials Updated February 24, 2010

Recorded as MATTHEW RUSSO, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2010

Licensed Practical Nurse (License #261151 in NY)

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Initial NPI Registration & Enumeration February 24, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639491194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2010
Last Update: February 24, 2010
Deactivation Date: July 09, 2026

Mailing Address

41 Congress St

Harrison, NY 105282901

Phone: 9148356464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.