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DOROTHY RUSSO
NPI 1053921841
Nurse Practitioner in New York, NY

Active since August 06, 2020PECOS Enrolled
535 E 70TH ST, NEW YORK, NY 10021(646) 797-8917 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2021, Dec 30, 2020, Aug 6, 2020 (3 updates tracked since 2020).

About Dorothy Russo NPPES

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

DOROTHY RUSSO (NPI 1053921841) is an individual nurse practitioner in New York, New York, licensed in New York (F431766) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053921841
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDOROTHY RUSSO
Location Address535 E 70TH STNew York, NY 10021-4823
Mailing AddressPo Box 29234New York, NY 10087-9234 · (646) 797-8917
Phone(646) 797-8917
Sole ProprietorYes
Enumeration DateAugust 6, 2020
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1053921841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F431766
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
535 E 70TH ST, New York, NY 10021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Russo 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dorothy Russo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ny Society For The Relief Of Ruptured & Crippled Maintaining
Same address
Orthopaedic Surgery
535 E 70TH ST
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 196 clinicians in this Medicare group
NPI 1902243488 (212) 774-7598
Memorial Anesthesiology Group
0.2 mi
Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group
NPI 1467423020 (646) 227-3813

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARAH E. MCCORD PA-C
Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1585
MICHAEL NEWMAN SINGLETON M.D.
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1036
GRETCHEN OSTRANDER ATC
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
New York County (203) 257-5414
AMANDA PERLMUTTER
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1137
MONICA ANIS MD
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (201) 527-7051
MARIANA SOFIA MOREIRAS
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
New York County (917) 260-4970
DR. SHEVAUN MACKIE DOYLE MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
New York County (646) 797-8816
NATISHA REGINA ROSS PA-C
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1004

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 Dorothy Russo's NPI number?

The NPI number for Dorothy Russo is 1053921841. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Dorothy Russo located?

Dorothy Russo practices at 535 E 70th St, New York, NY 10021. The listed phone number is (646) 797-8917.

What is Dorothy Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dorothy Russo enrolled in Medicare?

Yes. Dorothy Russo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dorothy Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Russo reassigns Medicare benefits to 2 organizations: Ny Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY) and Memorial Anesthesiology Group (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorothy Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dorothy Russo was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.