DR. GRACE BRADY RUSSO MD
NPI 1386273373
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 02, 2020
622 W 168TH ST, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Dr. Grace Brady Russo Md NPPES

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

DR. GRACE BRADY RUSSO MD (NPI 1386273373) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1386273373
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. GRACE BRADY RUSSOCredential: MD
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address622 W 168th St Rm 205New York, NY 10032-3720 · (212) 305-6354
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1386273373 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.

622 W 168TH ST, New York, NY 10032

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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Grace Russo's NPI number?

The NPI number for Grace Russo is 1386273373. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Grace Russo located?

Grace Russo practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Grace Russo'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 Grace Russo was last updated on April 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.