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

Russell Broming

Individual provider Physician Assistant · NPI 1154941425

Russell Broming is a Physician Assistant in Westbury, New York. Qualified in 1999, 27 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

70 Cottonwood Ln
Westbury, NY 11590-5743
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7191 (NY)

Record details

NPI number1154941425
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESJune 28, 2023
Certification dateJune 30, 2020
Mailing address70 Cottonwood Ln, Westbury, NY 11590-5743

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Westbury