MARK JACK RUSS MD
NPI 1437213402
Psychiatry & Neurology - Psychiatry in Glen Oaks, NY

Q: What is Mark Russ's NPI number?

The NPI number for Mark Russ is 1437213402. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is Mark Russ's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Russ was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 21, 2006

7559 263RD ST, GLEN OAKS, NY 11004(718) 470-8011(718) 962-8537 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Jack Russ Md NPPES

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

MARK JACK RUSS MD (NPI 1437213402) is an individual psychiatry provider in Glen Oaks, New York, licensed in New York (146749) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1437213402

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMARK JACK RUSSCredential: MD

Location Address7559 263RD STGlen Oaks, NY 11004-1150

Mailing Address7559 263rd StGlen Oaks, NY 11004-1150 · (718) 470-8011 · Fax (718) 962-8537

Phone(718) 470-8011

Fax(718) 962-8537

Sole ProprietorYes

Enumeration DateDecember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1437213402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 146749

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7559 263RD ST, Glen Oaks, NY 11004

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Other Identifiers 3

Medicare ID-Type Unspecified02241NY

Medicare UPINC07882NY

Medicaid01720194NY

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.

AVRELIYA SHAPIRO M.D.

Psychiatry & Neurology (Psychiatry)