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

Thomas Russo

Individual provider Specialist · NPI 1871581363

Thomas Russo is an Obstetrics/Gynecology in Paramus, New Jersey. Graduated from New York Medical College in 1987, 39 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
39
Trained at
New York Medical College
Licensed in
NJ
In the registry since
2005
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Practice location Address checks out

80 Eisenhower Dr Ste 200
Paramus, NJ 07652-1401
Phone: (201) 843-2800
Fax: (973) 939-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA05631000 (NJ)

Record details

NPI number1871581363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2005
Last updated in NPPESApril 25, 2017
Mailing address80 Eisenhower Dr, Paramus, NJ 07652-1401

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1987 (39 years in practice)
Group practice Lifeline Medical Associates Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Paramus