Doctor profile · Federal record
Dr. Taylor Russo, MSPAS, PA-C
Medical Physician Assistant · Surgical Physician Assistant · New York, NY
- NPI 1265206916
- 3 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
65 Broadway Fl 21
New York, NY 100062510
(212) 818-0001 - Mailing address
-
163 Cuba Ave
Staten Island, NY 103064909
Credentials & registration
- NPI registered
- November 2023 — 3 yrs on file
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- New York #031037-01
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265206916. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$104
Transactions
6
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ferring Pharmaceuticals INC. | 6 | $104.47 |
By nature of payment
Frequently asked questions
What is Dr. Taylor Russo's medical specialty?
Dr. Taylor Russo practices Medical Physician Assistant in New York, NY.
Where does Dr. Taylor Russo practice?
Dr. Taylor Russo practices at 65 Broadway Fl 21, New York, NY 100062510. Office phone: 2128180001.
What is Dr. Taylor Russo's NPI?
Dr. Taylor Russo's National Provider Identifier (NPI) is 1265206916, issued by NPPES.