Doctor profile · Federal record
Dr. Gerald Russo, M.D.
Pediatrics Physician · Dix Hills, NY
- NPI 1821176819
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
21 White Birch Dr
Dix Hills, NY 117467719
(631) 385-5113
fax (631) 421-1323
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- New York #142281
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821176819. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dermavant Sciences, INC. | 2 | $44.62 |
By nature of payment
Frequently asked questions
What is Dr. Gerald Russo's medical specialty?
Dr. Gerald Russo practices Pediatrics Physician in Dix Hills, NY.
Where does Dr. Gerald Russo practice?
Dr. Gerald Russo practices at 21 White Birch Dr, Dix Hills, NY 117467719. Office phone: 6313855113.
What is Dr. Gerald Russo's NPI?
Dr. Gerald Russo's National Provider Identifier (NPI) is 1821176819, issued by NPPES.