CAROL MAE RUSSELL DO
NPI 1265580096
Obstetrics & Gynecology in Montclair, NJ
About Carol Mae Russell Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL MAE RUSSELL DO (NPI 1265580096) is an individual obstetrics & gynecology provider in Montclair, New Jersey, licensed in New York (238185) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carol Mae Russell Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Carol Russell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07206
- Reassigned Medicare billing, New Jersey enrollment
- 63 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 55 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Morrisville, NC 27560
- Reassigned Medicare billing, North Carolina enrollment
- 413 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, New Jersey enrollment
- 155 clinicians in this Medicare group
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 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
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 Carol Russell's NPI number?
The NPI number for Carol Russell is 1265580096. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Carol Russell located?
Carol Russell practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6000.
What is Carol Russell's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Carol Russell enrolled in Medicare?
Yes. Carol Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carol Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Russell reassigns Medicare benefits to 6 organizations: Neighborhood Health Services Corporation (Elizabeth, NJ), Practice Associates Medical Group (Morristown, NJ), Dhp Of New Jersey PA (Edison, NJ), North Shore-Lij Medical PC (Great Neck, NY), Uwh Of The Carolinas, PLLC (Morrisville, NC) and 1 more organization, listed in the Medicare section above. 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 Carol Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Russell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health list Carol Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carol Russell was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carol Mae Russell, DO · NPI 1265580096
Obstetrics & Gynecology physician in Montclair, New Jersey. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1265580096 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 238185 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BAY AVE, Montclair, NJ 07042-4837
- **Phone:** (973) 429-6000 · **Fax:** (973) 429-6209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Neighborhood Health Services Corporation (NPI 1538383666, Elizabeth, NJ); Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); Dhp Of New Jersey PA (NPI 1275896516, Edison, NJ); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Uwh Of The Carolinas, PLLC (NPI 1639506470, Morrisville, NC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2001
## Record status
- **NPPES last updated:** February 20, 2017
- **Other identifiers:** Medicaid 02832057 (NY); Medicare PIN WYYPT1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1265580096) · Data from the CMS NPPES public registry.