RUSSAK DERMATOLOGY PC
NPI 1487992871
Clinic/Center - Medical Specialty in New York, NY
About Russak Dermatology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSAK DERMATOLOGY PC (NPI 1487992871) is a healthcare organization registered as a medical specialty in New York, New York and active in the NPI registry since January 2013. The organization lists Julie E Russak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Russak Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Russak Dermatology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Russak Dermatology PC's NPI number?
The NPI number for Russak Dermatology PC is 1487992871. It was assigned to this organization in the NPPES registry on January 21, 2013.
Where is Russak Dermatology PC located?
Russak Dermatology PC is located at 115 E 57th St 12th Floor, New York, NY 10022. The listed phone number is (212) 684-5964.
What is Russak Dermatology PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Russak Dermatology PC enrolled in Medicare?
Yes. Russak Dermatology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Russak Dermatology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Russak Dermatology PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Russak Dermatology PC was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Russak Dermatology Pc · NPI 1487992871
Medical Specialty organization in New York, New York. Organization record, active in the CMS NPPES registry since January 21, 2013.
## Identity
- **NPI:** 1487992871 (Entity type: Organization)
- **Enumerated:** January 21, 2013
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Julie Russak, OWNER
## Practice location
- **Address:** 115 E 57TH ST, 12TH FLOOR, New York, NY 10022-2049
- **Phone:** (212) 684-5964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1487992871) · Data from the CMS NPPES public registry.