Anthony Russo, MD
Internal Medicine, Sleep Medicine in Madison, New Jersey
1730649989- Practice location
- 300 Madison Ave, Madison, NJ 07940-1868
- Phone
- 973-822-2772
- Fax
- 973-822-2773
- Last updated
- August 28, 2023
Anthony Russo is an Internal Medicine, Sleep Medicine based in Madison, NJ. Anthony Russo practices in Madison, NJ and has the professional credentials of MD. The NPI Number for Anthony Russo is 1730649989 and holds a License No. 00000000000000000000. The current practice location address for Anthony Russo is 300 Madison Ave, Madison, NJ 07940-1868 and can be reached out via phone at 973-822-2772 and via fax at 973-822-2773.
Provider Profile Details
- NPI Number
- 1730649989
- Provider Name
- Anthony Russo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Madison Ave, Madison, NJ 07940-1868
- Phone Number
- 973-822-2772
- Fax Number
- 973-822-2773
- Primary Taxonomy
- Internal Medicine, Sleep Medicine · 207RS0012X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 22, 2019
- Last Update Date
- August 28, 2023
- Certification Date
- August 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Madison Ave
Madison, NJ 07940-1868 - City
- Madison
- State
- New Jersey
- Zip
- 07940-1868
- Phone Number
- 973-822-2772
- Fax Number
- 973-822-2773
Provider Business Mailing Address Details
- Address
- 549 Wittich Ter
River Vale, NJ 07675-6005 - City
- River Vale
- State
- NJ
- Zip
- 07675-6005
License Information
- License Number (1)
- 00000000000000000000
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA11647500
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Sleep Medicine · 207RS0012X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Anthony Russo, MD?
The NPI number of Anthony Russo, MD is 1730649989. It was assigned on March 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Anthony Russo, MD?
Anthony Russo, MD is registered under the primary taxonomy Internal Medicine, Sleep Medicine (code 207RS0012X), licensed under license number 00000000000000000000.
Where does Anthony Russo, MD practice?
The practice location is 300 Madison Ave, Madison, NJ 07940-1868. The office can be reached at 973-822-2772 (phone) or 973-822-2773 (fax).
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 1730649989 directly on the NPPES registry website.