DR. MARCO JOSEPH RUSSO MD, PHD
NPI 1881048262
Clinic/Center - Research in New Brunswick, NJ

Q: What is Marco Russo's NPI number?

The NPI number for Marco Russo is 1881048262. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Marco Russo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.

Q: When was this NPI record last updated?

The NPPES record for Marco Russo was last updated on July 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment

125 PATERSON ST STE 6200, NEW BRUNSWICK, NJ 08901(732) 235-7729(732) 235-7041 Get Directions Write a Review

NPPES record last updated: July 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2023, Dec 21, 2020, May 10, 2017 (3 updates tracked since 2017).

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About Dr. Marco Joseph Russo Md, Phd NPPES

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

DR. MARCO JOSEPH RUSSO MD, PHD (NPI 1881048262) is an individual research provider in New Brunswick, New Jersey, licensed in New Jersey (25MA11497800) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2016).

NPPES Registry Identity

NPI1881048262

Entity TypeIndividualMale

Primary Taxonomy261QR1100X

Provider Legal NameDR. MARCO JOSEPH RUSSOCredential: MD, PHD

Location Address125 PATERSON ST STE 6200New Brunswick, NJ 08901-1962

Mailing Address125 Paterson St Ste 6200New Brunswick, NJ 08901-1962 · (732) 235-7729

Phone(732) 235-7729

Fax(732) 235-7041

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016

Enumeration DateApril 21, 2016

Last NPPES UpdateJuly 29, 20233 updates tracked since enumeration

NPPES CertifiedJuly 29, 2023

✔ NPI 1881048262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · ResearchAmbulatory Health Care Facilities

Taxonomy Code261QR1100X

License✔ Licensed in NJ · 25MA11497800

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA11497800 (NJ), 302323 (NY)

125 PATERSON ST STE 6200, New Brunswick, NJ 08901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marco Joseph Russo Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567846918

PECOS Enrollment IDI20220902000354

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.

Medicare Billing Reassignment

Medicare enrollment records show Marco Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Scleroderma Program

Same address

Rheumatology

125 PATERSON ST, SUITE 5200A
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
641 clinicians in this Medicare group

NPI 1003988635 (732) 235-7217

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

3,798 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

190 services119 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

141 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

32 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 4

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

ROGER C CHENG M.D.

Psychiatry & Neurology (Neurology)

125 PATERSON ST STE 6200
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-3288

JENNIFER YU-CHIA CHEN M.D.

Psychiatry & Neurology (Neurology)

125 PATERSON ST STE 6200
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7729

DR. RAM GOWDA MD

Psychiatry & Neurology (Neurology)

125 PATERSON ST STE 6200
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-3288

DR. BRAD KAMITAKI M.D.

Psychiatry & Neurology (Neurology)

125 PATERSON ST STE 6200
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7340

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 Marco Russo's NPI number?

The NPI number for Marco Russo is 1881048262. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Marco Russo located?

Marco Russo practices at 125 Paterson St Ste 6200, New Brunswick, NJ 08901. The listed phone number is (732) 235-7729.

What is Marco Russo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.

Is Marco Russo enrolled in Medicare?

Yes. Marco Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marco Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Russo reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Russo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Marco Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marco Russo affiliated with any hospitals?

According to CMS data, Marco Russo is affiliated with Robert Wood Johnson University Hospital and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Marco Russo was last updated on July 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.