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

Individual provider Professional Counselor · NPI 1114122371

Dr. Russell Jaffe, MD is a Professional Counselor in New York, New York. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2007
Specialties on file
4
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

800 5th Ave
New York, NY 10021-7216
Phone: (703) 788-5101
Fax: (703) 255-1389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 18313 (DC)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 18313 (DC)
Clinical & Laboratory Immunology (Internal Medicine) Physician Taxonomy 207RI0001X · Licence 18313 (DC)
Legal Medicine (M.D./D.O.) Physician Taxonomy 209800000X · Licence 18313 (DC)

Record details

NPI number1114122371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 11, 2025

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