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

Russell Porter, MD

Individual provider Family Medicine Physician · NPI 1275511560

Russell Porter, MD is a Family Practice in Rockville Centre, New York. Qualified in 1977, 49 years ago. Practices with Mount Sinai School of Medicine, a 151-clinician group. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2006
Specialties on file
3
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

2000 N Villiage Ave Ste 307
Rockville Centre, NY 11570-1001
Phone: (516) 766-5051
Fax: (516) 766-2476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 136530 (NY)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 136530 (NY)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 136530 (NY)

Record details

NPI number1275511560
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Mount Sinai School Of Medicine — 151 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Rockville Centre