Doctor profile · Federal record
Dr. Nicholas Russo, MD
Family Medicine Physician · Student in an Organized Health Care Education/Training Program · New York, NY
- NPI 1174151930
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
185 Broadway Fl 2
New York, NY 100070167
(415) 658-6791
fax (415) 252-7176 - Additional location
-
30 Prospect Ave
Hackensack, NJ 076011915
(551) 996-2000 - Mailing address
-
1 Embarcadero Ctr Ste 1900
San Francisco, CA 941113723
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Profile last updated
- March 14, 2025
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #333488
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174151930. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$135
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $135.35 |
By nature of payment
Frequently asked questions
What is Dr. Nicholas Russo's medical specialty?
Dr. Nicholas Russo practices Family Medicine Physician in New York, NY.
Where does Dr. Nicholas Russo practice?
Dr. Nicholas Russo practices at 185 Broadway Fl 2, New York, NY 100070167. Office phone: 4156586791.
What is Dr. Nicholas Russo's NPI?
Dr. Nicholas Russo's National Provider Identifier (NPI) is 1174151930, issued by NPPES.