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

Individual provider Obstetrics & Gynecology Physician · NPI 1235290966

Mr. Neil J Russo, MD is an Obstetrics/Gynecology in West Orange, New Jersey. Graduated from Rutgers New Jersey Medical School in 1990, 36 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
36
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2006
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

375 Mount Pleasant Ave Ste 202
West Orange, NJ 07052-2724
Phone: (973) 731-7707
Fax: (973) 669-0277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MA 56453 (NJ)

Record details

NPI number1235290966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 11, 2019

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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