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DAVID P RUSSO M.D., FACS
NPI 1588647143
Internal Medicine - Addiction Medicine in Bridgeton, NJ

Active since November 28, 2005PECOS Enrolled
133 POLK LN, BRIDGETON, NJ 08302(800) 761-7575 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2020, Feb 23, 2020, Dec 31, 2019 and 4 more (7 updates tracked since 2015).

About David P Russo M.d., Facs NPPES

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

DAVID P RUSSO M.D., FACS (NPI 1588647143) is an individual addiction medicine provider in Bridgeton, New Jersey, licensed in New Jersey (25MA05056300) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588647143
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDAVID P RUSSOCredential: M.D., FACS
Location Address133 POLK LNBridgeton, NJ 08302-5905
Mailing Address133 Polk LnBridgeton, NJ 08302-5905 · (800) 761-7575
Phone(800) 761-7575
Sole ProprietorYes
Enumeration DateNovember 28, 2005
Last NPPES UpdateAugust 14, 20207 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1588647143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NJ · 25MA05056300
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedSurgeryTaxonomy 208600000X · License 25MA05056300 (NJ)
133 POLK LN, Bridgeton, NJ 08302
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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)

David P Russo M.d., Facs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MS. KAREN LYNN KUSHNER APN
Nurse Practitioner (Adult Health)
133 POLK LN
BRIDGETON, NJ 08302
Cumberland County (856) 455-7576
SEABROOK HOUSE, INC.
Substance Abuse Rehabilitation Facility
133 POLK LN
SEABROOK, NJ 08302
Cumberland County (856) 455-7575

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 David Russo's NPI number?

The NPI number for David Russo is 1588647143. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is David Russo located?

David Russo practices at 133 Polk Ln, Bridgeton, NJ 08302. The listed phone number is (800) 761-7575.

What is David Russo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is David Russo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Russo was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.