Active NPIIndividual providerSole proprietor

Dr. Mark J Russo, MD, MS

Thoracic Surgery (Cardiothoracic Vascular Surgery) in New Brunswick, New Jersey

NPI Number1326289786
Practice location
1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928
Fax
—
Last updated
November 10, 2023

Mark Joseph Russo is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in New Brunswick, NJ. Mark Joseph Russo practices in New Brunswick, NJ and has the professional credentials of MD, MS. The NPI Number for Mark Joseph Russo is 1326289786 and holds a License No. 234808 (NY). The current practice location address for Mark Joseph Russo is 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 and can be reached out via phone at 732-828-3000.

Provider Profile Details

NPI Number
1326289786
Provider Name
Mark Joseph Russo
Credential
MD, MS
Provider Entity Type
Individual
Gender
Male
Address
1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928
Phone Number
732-828-3000
Sole Proprietor
Yes
Provider Enumeration Date
March 16, 2009
Last Update Date
November 10, 2023
Certification Date
November 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Zip
08901-1928
Phone Number
732-828-3000
New Brunswick, NJ 08901Get directions →

Provider Business Mailing Address Details

Address
Po Box 829642
Philadelphia, PA 19182-9642
City
Philadelphia
State
PA
Zip
19182-9642
Phone Number
866-470-6626
Fax Number
413-599-0470

License Information

License Number (1)
234808
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MA09214100
License State (2)
NJ
Taxonomy (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark J Russo, MD, MS?

The NPI number of Dr. Mark J Russo, MD, MS is 1326289786. It was assigned on March 16, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark J Russo, MD, MS?

Dr. Mark J Russo, MD, MS is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NY under license number 234808.

Where does Dr. Mark J Russo, MD, MS practice?

The practice location is 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928. The office can be reached at 732-828-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326289786 directly on the NPPES registry website.

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