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KYLE STEPHEN ANG RUSSO MD
NPI 1740070127
Student in an Organized Health Care Education/Training Program in Flushing, NY

Active since May 08, 2025
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 13, 2026, Apr 8, 2026, May 8, 2025 (3 updates tracked since 2025).

About Kyle Stephen Ang Russo Md NPPES

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

KYLE STEPHEN ANG RUSSO MD (NPI 1740070127) is an individual student in an organized health care education/training program in Flushing, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1740070127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE STEPHEN ANG RUSSOCredential: MD
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address16147 Mission Glen DrHouston, TX 77083-5381 · (832) 492-4820
Phone(718) 670-2000
Sole ProprietorYes
Enumeration DateMay 8, 2025
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1740070127 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.
5645 MAIN ST, Flushing, NY 11355
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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.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Kyle Stephen Russo's NPI number?

The NPI number for Kyle Stephen Russo is 1740070127. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Kyle Stephen Russo located?

Kyle Stephen Russo practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Kyle Stephen 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 Kyle Stephen Russo was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.