Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyse Cortney Russo, MPAS, PA-C

Individual provider Physician Assistant · NPI 1346516408

Alyse Cortney Russo, MPAS, PA-C is a Physician Assistant in Teaneck, New Jersey. Qualified in 2011, 15 years ago. Practices with Natural Image Skin Center, a 9-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

870 Palisade Ave Ste 302
Teaneck, NJ 07666-3419
Phone: (201) 836-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00279700 (NJ)

Record details

NPI number1346516408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESFebruary 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Natural Image Skin Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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