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

Dr. Marc William Russo, MD

Individual provider Anesthesiology Physician · NPI 1073717658

Dr. Marc William Russo, MD is an Anesthesiology in North Bergen, New Jersey. Graduated from Columbia University College of Physicians and Surgeons in 2006, 20 years ago. Practices with Parkway Anesthesia Associates LLC, a 311-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
20
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
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

7600 River Rd
North Bergen, NJ 07047-6217
Phone: (212) 854-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA08706700 (NJ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 255454 (NY)

Record details

NPI number1073717658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address66 W Gilbert St Ste 100, Tinton Falls, NJ 07701-4948

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2006 (20 years in practice)
Group practice Parkway Anesthesia Associates Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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