BENJAMIN RUSSELL MD
NPI 1316688112
Student in an Organized Health Care Education/Training Program in Newark, DE

Active since April 05, 2022PECOS Enrolled
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-4503 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Benjamin Russell Md NPPES

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

BENJAMIN RUSSELL MD (NPI 1316688112) is an individual student in an organized health care education/training program in Newark, Delaware and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316688112
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN RUSSELLCredential: MD
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1316688112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4755 OGLETOWN STANTON RD, Newark, DE 19718

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Russell 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.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

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 Benjamin Russell's NPI number?

The NPI number for Benjamin Russell is 1316688112. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Benjamin Russell located?

Benjamin Russell practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-4503.

What is Benjamin Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Benjamin Russell was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.