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

Dr. Nicholas John Russo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679005649

Dr. Nicholas John Russo, MD is a Vascular Surgery in Neptune City, New Jersey. Qualified in 2017, 9 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2017
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

19 Davis Ave Fl 4
Neptune City, NJ 07753-4488
Phone: (732) 212-6598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 25MA11351700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1679005649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address19 Davis Ave Fl 4, Neptune City, NJ 07753-4488

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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