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DR. GERALD RUSSO M.D.
NPI 1821176819
Pediatrics in Dix Hills, NY

Active since November 01, 2006
21 WHITE BIRCH DR, DIX HILLS, NY 11746(631) 385-5113(631) 421-1323 Get Directions Write a Review

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

About Dr. Gerald Russo M.d. NPPES

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

DR. GERALD RUSSO M.D. (NPI 1821176819) is an individual pediatrics provider in Dix Hills, New York, licensed in New York (142281) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821176819
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GERALD RUSSOCredential: M.D.
Location Address21 WHITE BIRCH DRDix Hills, NY 11746-7719
Mailing Address21 White Birch DrDix Hills, NY 11746-7719 · (631) 385-5113
Phone(631) 385-5113
Fax(631) 421-1323
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821176819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 142281
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
21 WHITE BIRCH DR, Dix Hills, NY 11746
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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 Gerald Russo's NPI number?

The NPI number for Gerald Russo is 1821176819. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gerald Russo located?

Gerald Russo practices at 21 White Birch Dr, Dix Hills, NY 11746. The listed phone number is (631) 385-5113.

What is Gerald Russo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Gerald Russo 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.