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

Phillip Michael Russertt, RN

Individual provider Home Health Registered Nurse · NPI 1679046130

Phillip Michael Russertt, RN is a Home Health Registered Nurse in Bayport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

27 Barrett Ave
Bayport, NY 11705-1407
Phone: (718) 517-0074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 604009 (NY)

Record details

NPI number1679046130
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019

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