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

Dr. John Anthony Russo, MD

Individual provider Internal Medicine Physician · NPI 1346376415

Dr. John Anthony Russo, MD is an Internal Medicine in West Orange, New Jersey. Qualified in 1981, 45 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New Jersey.

Years since qualifying
45
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Pleasant Valley Way Ste 201
West Orange, NJ 07052-2956
Phone: (973) 736-8119
Fax: (973) 736-6818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA44815 (NJ)

Record details

NPI number1346376415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 25, 2007
Last updated in NPPESNovember 1, 2007
Mailing address1500 Pleasant Valley Way Ste 201, West Orange, NJ 07052-2956

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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