Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Russo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730649989

Anthony Russo, MD is a Sleep Medicine in Madison, New Jersey. Qualified in 2019, 7 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Madison Ave
Madison, NJ 07940-1868
Phone: (973) 822-2772
Fax: (973) 822-2773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence 25MA11647500 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 00000000000000000000

Record details

NPI number1730649989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address549 Wittich Ter, River Vale, NJ 07675-6005

Medicare enrollment

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

Medicare specialtySLEEP MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services