DR. RUSSELL JAMES PEPE MD
NPI 1043849706
General Practice in New Hyde Park, NY

Active since April 05, 2020PECOS Enrolled
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-4475(718) 962-2239 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Apr 5, 2020 (2 updates tracked since 2020).

About Dr. Russell James Pepe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL JAMES PEPE MD (NPI 1043849706) is an individual general practice provider in New Hyde Park, New York, licensed in New York (324291) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043849706
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RUSSELL JAMES PEPECredential: MD
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402 · (718) 470-4475 · Fax (718) 962-2239
Fax(718) 962-2239
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1043849706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 324291
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
27005 76TH AVE, New Hyde Park, NY 11040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Russell James Pepe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Pepe's NPI number?

The NPI number for Russell Pepe is 1043849706. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Russell Pepe located?

Russell Pepe practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-4475.

What is Russell Pepe's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Russell Pepe enrolled in Medicare?

Yes. Russell Pepe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Pepe was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.