Mark J Russo (NPI# 1326289786, PAC ID# 6103941612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1326289786 |
| PAC ID by PECOS | 6103941612 |
| Professional Enrollment ID | I20130419000321 |
| Full Name | Mark J Russo |
| Organization Legal Name | RUTGERS HEALTH-RWJ THORACIC SURGERY |
| Address |
125 Paterson St Suite 4100 New Brunswick NJ 08901-1962 |
| Phone Number | 7322357802 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1997 |
| Primary Specialty | THORACIC SURGERY |
| Group Practice PAC ID | 3375507221 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310038 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310075 | MONMOUTH MEDICAL CENTER |
| 310041 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1966 | 7328283000 | RUTGERS HEALTH-RWJ THORACIC SURGERY |
| 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 | 7322357802 | RUTGERS HEALTH-RWJ THORACIC SURGERY |
| Organization Legal Name | RUTGERS HEALTH-RWJ THORACIC SURGERY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Langenfeld | Thoracic Surgery | Rutgers Health-rwj Thoracic Surgery | 195 Little Albany St, New Brunswick, NJ 08901-1914 |
| Anthony Lemaire | Thoracic Surgery | Rutgers Health-rwj Thoracic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Leonard Y Lee | General Surgery | Rutgers Health-rwj Thoracic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Aziz S Ghaly | Thoracic Surgery | Rutgers Health-rwj Thoracic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Hirohisa Ikegami | Cardiac Surgery | Rutgers Health-rwj Thoracic Surgery | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Street Address |
125 PATERSON ST SUITE 4100 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip | 08901-1962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Wong | Rheumatology | Rutgers Health-rwj Rheumatology | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 |
| Amanda A Borham | Rheumatology | Rutgers Health-rwj Rheumatology | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 |
| Shelly Rishty | Neurology | Rutgers Health-rwj Neurology Group | 125 Paterson St, Suite 6100, New Brunswick, NJ 08901-1962 |
| Roger C Cheng | Neurology | Rutgers Health-rwj Neurology Group | 125 Paterson St, Suite 6100, New Brunswick, NJ 08901-1962 |
| Jennifer Yu Chen | Neurology | Rutgers Health-rwj Neurology Group | 125 Paterson St, Suite 6100, New Brunswick, NJ 08901-1962 |
| Reynold A Panettieri Jr. | Pulmonary Disease | Rutgers Health-rwj Pulmonary | 125 Paterson St, New Brunswick, NJ 08901-1962 |
| Barbara J Armas-loughram | Internal Medicine | Rutgers Health Rwj Department of Medicine Gen Internal | 125 Paterson St, New Brunswick, NJ 08901-1962 |
| Claire S Philipp | Hematology/oncology | Rutgers Health - Rwj Hem/onc | 125 Paterson St, Suite 5200, New Brunswick, NJ 08901-1962 |
| Stanley Z Trooskin | General Surgery | Rutgers Health-rwj Surgery Group | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Brian Mikulan Maxfield | Anesthesiology | Rutgers Health-rwj Acute Pain | 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace C Cho | Anesthesiology | Anesthesia Consultants of New Jersey LLC | St Peters Univ Hospital, New Brunswick, NJ 08901 |
| Antonio M Grasso | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanisha Arora | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Pooja M Patil | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Sarah E Kulp | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Peter C Freis | Pediatric Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Melissa Y Richart | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanuja Bhoj | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Michael L Hochberg | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Robin Axel | Clinical Social Worker | Catholic Charities, Diocese of Metuchen | 24 Abeel St, New Brunswick, NJ 08901-1303 |
| Find all physicians in zip 08901 | |||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
| Specialty | THORACIC SURGERY |
| City + Specialty | NEW BRUNSWICK + THORACIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.