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BLAINE BURKE RUSS MD
NPI 1346099132
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since May 15, 2024
150 BERGEN ST, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaine Burke Russ Md NPPES

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

BLAINE BURKE RUSS MD (NPI 1346099132) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1346099132
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAINE BURKE RUSSCredential: MD
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address36 Sandy Brook LnCastle Creek, NY 13744-1123 · (607) 644-2143
Phone(973) 972-4300
Sole ProprietorNo
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1346099132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
150 BERGEN ST, Newark, NJ 07103
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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.

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

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 Blaine Russ's NPI number?

The NPI number for Blaine Russ is 1346099132. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Blaine Russ located?

Blaine Russ practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-4300.

What is Blaine Russ's specialty?

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

When was this NPI record last updated?

The NPPES record for Blaine Russ was last updated on May 15, 2024. 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.