THE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, P.C.
NPI 1063699783
Specialist in Staten Island, NY

Active since January 24, 2008
131 FOREST AVE, STATEN ISLAND, NY 10301(718) 442-7700(718) 442-7705 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Medical Office Of Dr. Carol M. Russell, P.c. NPPES

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

THE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, P.C. (NPI 1063699783) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since January 2008. The organization lists Bert Barry, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063699783
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE MEDICAL OFFICE OF DR. CAROL M. RUSSELL, P.C.
Location Address131 FOREST AVEStaten Island, NY 10301-2715
Mailing Address131 Forest AveStaten Island, NY 10301-2715 · (718) 442-7700 · Fax (718) 442-7705
Fax(718) 442-7705
Organization SubpartNo
Authorized OfficialBert BarryOffice Manager · (718) 727-9544
Enumeration DateJanuary 24, 2008
NPI 1063699783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 238185-1
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

131 FOREST AVE, Staten Island, NY 10301

Other Identifiers 2

Other11664647Caqh
Other1265580096Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 The Medical Office Of Dr. Carol M. Russell, P.C.'s NPI number?

The NPI number for The Medical Office Of Dr. Carol M. Russell, P.C. is 1063699783. It was assigned to this organization in the NPPES registry on January 24, 2008.

Where is The Medical Office Of Dr. Carol M. Russell, P.C. located?

The Medical Office Of Dr. Carol M. Russell, P.C. is located at 131 Forest Ave, Staten Island, NY 10301. The listed phone number is (718) 442-7700.

What is The Medical Office Of Dr. Carol M. Russell, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Medical Office Of Dr. Carol M. Russell, P.C. was last updated on January 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.