DR. STEFANIE LUISE RUSSELL DDS, MPH, PHD
NPI 1851601983
Dentist - Periodontics in New York, NY

Active since October 07, 2010PECOS Enrolled
550 1ST AVE, SUITE QQ, NEW YORK, NY 10016(212) 263-7552 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2017, Apr 11, 2017 (2 updates tracked since 2017).

About Dr. Stefanie Luise Russell Dds, Mph, Phd NPPES

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

DR. STEFANIE LUISE RUSSELL DDS, MPH, PHD (NPI 1851601983) is an individual periodontics provider in New York, New York, licensed in New York (044169) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851601983
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. STEFANIE LUISE RUSSELLCredential: DDS, MPH, PHD
Location Address550 1ST AVE, SUITE QQNew York, NY 10016-6402
Mailing Address530 1st Ave, Suite QqNew York, NY 10016-6402 · (212) 263-7552
Sole ProprietorYes
Enumeration DateOctober 7, 2010
Last NPPES UpdateApril 27, 20172 updates tracked since enumeration
NPI 1851601983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in NY · 044169 Licensed in NJ · 22DI01818700
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
550 1ST AVE, New York, NY 10016

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. Stefanie Luise Russell Dds, Mph, Phd 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 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 20

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

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Stefanie Russell's NPI number?

The NPI number for Stefanie Russell is 1851601983. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Stefanie Russell located?

Stefanie Russell practices at 550 1st Ave Suite Qq, New York, NY 10016. The listed phone number is (212) 263-7552.

What is Stefanie Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Stefanie Russell enrolled in Medicare?

Yes. Stefanie Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefanie Russell was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.