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DR. JUAN JOSE RUSSO M.D.
NPI 1558855395
Student in an Organized Health Care Education/Training Program in New York, NY

Active since June 15, 2018PECOS Enrolled
COLUMBIA UNIVERSITY MEDICAL CENTER, 161 FORT WASHINGTON AVENUE, 6TH FLOOR, NEW YORK, NY 10032(212) 305-2708 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 29, 2019, Jun 15, 2018 (2 updates tracked since 2018).

About Dr. Juan Jose Russo M.d. NPPES

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

DR. JUAN JOSE RUSSO M.D. (NPI 1558855395) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558855395
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUAN JOSE RUSSOCredential: M.D.
Location AddressCOLUMBIA UNIVERSITY MEDICAL CENTER, 161 FORT WASHINGTON AVENUE, 6TH FLOORNew York, NY 10032
Mailing AddressColumbia University Medical Center, 161 Fort Washington Avenue, 6th FloorNew York, NY 10032
Phone(212) 305-2708
Sole ProprietorYes
Enumeration DateJune 15, 2018
Last NPPES UpdateJanuary 29, 20192 updates tracked since enumeration
✔ NPI 1558855395 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.
COLUMBIA UNIVERSITY MEDICAL CENTER, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juan Jose Russo M.d. 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SHINLI WANG M.D.
Anesthesiology (Critical Care Medicine)
COLUMBIA UNIVERSITY MEDICAL CENTER, 622 WEST 168TH STREET
NEW YORK, NY 10032
New York County (987) 621-2305
MS. HILARY MEREDITH NIERENBERG NP
Registered Nurse
COLUMBIA UNIVERSITY MEDICAL CENTER, 161 FORT WASHINGTON AVENUE, 5 IRVING
NEW YORK, NY 10032
New York County (212) 342-4743
DR. SELWYN AUBREY STOCH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
COLUMBIA UNIVERSITY MEDICAL CENTER, COLLEGE OF PHYSICIANS & SURGEONS
NEW YORK, NY 10032
New York County (212) 305-6238
MR. WINSTON TAN CHENG M.S., CCC-SLP
Speech-Language Pathologist
COLUMBIA UNIVERSITY MEDICAL CENTER, 622 W. 168TH ST., VANDERBILT CLINIC, 10TH FL, ROOM 1001
NEW YORK, NY 10032
New York County (212) 305-2531
DR. THERESA FITZGERALD MADALINE M.D.
Internal Medicine (Infectious Disease)
COLUMBIA UNIVERSITY MEDICAL CENTER, 630 W 168TH STREET #4
NEW YORK, NY 10032
New York County (122) 305-2500
MR. NICOLAS GORDON RIEDEL BOWERS MD
Student in an Organized Health Care Education/Training Program
COLUMBIA UNIVERSITY MEDICAL CENTER, 161 FORT WASHINGTON AVENUE, 6TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-2708
MEGAN MARIE MROCZKOWSKI M.D.
Psychiatry & Neurology (Psychiatry)
COLUMBIA UNIVERSITY MEDICAL CENTER, 3959 BROADWAY
NEW YORK, NY 10032
New York County (410) 955-6114
JONATHAN PAUL D.O.
Anesthesiology (Critical Care Medicine)
COLUMBIA UNIVERSITY MEDICAL CENTER, 622 WEST 168TH STREET
NEW YORK, NY 10032
New York County (212) 305-9876

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 Juan Russo's NPI number?

The NPI number for Juan Russo is 1558855395. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Juan Russo located?

Juan Russo practices at Columbia University Medical Center 161 Fort Washington Avenue, 6th Floor, New York, NY 10032. The listed phone number is (212) 305-2708.

What is Juan Russo's specialty?

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

Is Juan Russo enrolled in Medicare?

Yes. Juan Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Russo was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.